Provider Demographics
NPI:1669646675
Name:NATIONAL BOARD FOR CERTIFIED COUNSELORS
Entity Type:Organization
Organization Name:NATIONAL BOARD FOR CERTIFIED COUNSELORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SERVICES ADMINISTRATO
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, NCC, LPC
Authorized Official - Phone:336-547-0607
Mailing Address - Street 1:3 TERRACE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-3670
Mailing Address - Country:US
Mailing Address - Phone:336-547-0607
Mailing Address - Fax:336-547-0017
Practice Address - Street 1:3 TERRACE WAY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3670
Practice Address - Country:US
Practice Address - Phone:336-547-0607
Practice Address - Fax:336-547-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC765251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health