Organization · Type 2 NPI

New River Service Authority

Mental Health Counselor · Statesville, NC

NPI number 1013149665 Active

Practice location

524 Signal Hill Drive Ext
Statesville, NC 28625-4391

Call (704) 871-1045 Map

Fax (704) 883-8638

Mailing address

895 State Farm Rd, Suite 508
Boone, NC 28607-4917

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHL-049-108 (NC)

Mental Health Counselor: Definition to come...

50 other providers at this address

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About NPI 1013149665

New River Service Authority's National Provider Identifier is 1013149665, issued on Aug 17, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Statesville, NC. The record was last updated on Aug 17, 2009.