Individual provider · Type 1 NPI

Socoria Lee Dial

Mental Health Counselor · Pembroke, NC

NPI number 1467917690 Active

Practice location

102 South Main Street
Pembroke, NC 28372

Call (910) 736-8035 Map

Mailing address

150 Sanctuary Rd
Pembroke, NC 28372-8875

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467917690

Socoria Lee Dial's National Provider Identifier is 1467917690, issued on Feb 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pembroke, NC. The record was last updated on Feb 1, 2019.