Organization · Type 2 NPI

Dae LLC

Professional Counselor · Winterville, NC

NPI number 1073797189 Active

Practice location

113 W Firetower Rd, Suite G
Winterville, NC 28590-8377

Fax (252) 758-0015

Mailing address

113 West Fire Tower Rd., Suite G
Winterville, NC 28590-8377

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1021 (NC)
Professional Counselor Primary 101YP2500X5318 (NC)

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About NPI 1073797189

Dae LLC's National Provider Identifier is 1073797189, issued on Dec 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winterville, NC. The record was last updated on Dec 26, 2007.