Organization · Type 2 NPI
Crossvine Clinical Group, PLLC
Professional Counselor · Raleigh, NC
NPI number
1154090876
Active
Practice location
140 Wind Chime Ct Ste A
Raleigh, NC 27615-6580
Mailing address
1109 Whippoorwill Ln
Raleigh, NC 27609-3643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1154090876
Crossvine Clinical Group, PLLC's National Provider Identifier is 1154090876, issued on Sep 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raleigh, NC. The record was last updated on Sep 7, 2021.