Organization · Type 2 NPI
Creech Road Supervised Gare
Mental Health Counselor · Raleigh, NC
NPI number
1689918641
Active
Practice location
311 New Bern Ave, # 27991
Raleigh, NC 27611-0801
Mailing address
808 Creech Rd
Garner, NC 27529-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MHL 092761 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1689918641
Creech Road Supervised Gare's National Provider Identifier is 1689918641, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Nov 15, 2012.