Individual provider · Type 1 NPI

Nastasia Marie Street

Mental Health Counselor · Raeford, NC

NPI number 1083482046 Active

Practice location

402 Harris Ave
Raeford, NC 28376-3112

Fax (910) 875-5008

Mailing address

163 Ashcroft Ct
Raeford, NC 28376-7476

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA19497 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1083482046

Nastasia Marie Street's National Provider Identifier is 1083482046, issued on Dec 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raeford, NC. The record was last updated on Dec 19, 2023.