Organization · Type 2 NPI

Our Treatment Center

Mental Health Counselor · Raleigh, NC

NPI number 1134424542 Active

Practice location

4909 Waters Edge Dr, 104
Raleigh, NC 27606-2462

Mailing address

1702 Sheriff Watson Rd
Sanford, NC 27332-6720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7134 (NC)
Mental Health Counselor 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1134424542

Our Treatment Center's National Provider Identifier is 1134424542, issued on Jan 14, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Jul 11, 2022.