Organization · Type 2 NPI

Easter Seals Ucp North Carolina & Virginia, Inc.

Mental Health Counselor · Fayetteville, NC

NPI number 1164584009 Active

Practice location

351 Wagoner Dr Ste 160
Fayetteville, NC 28303-4608

Call (919) 861-1600 Map

Fax (919) 861-1637

Mailing address

5171 Glenwood Ave, Suite 400
Raleigh, NC 27612-3266

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1164584009

Easter Seals Ucp North Carolina & Virginia, Inc.'s National Provider Identifier is 1164584009, issued on Dec 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 13, 2014.