Organization · Type 2 NPI
Supreme Teens, L&c
Mental Health Counselor · Enfield, NC
NPI number
1689934077
Active
Practice location
14495 Hwy 301 N.
Enfield, NC 27823
Fax (252) 445-1073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1689934077
Supreme Teens, L&c's National Provider Identifier is 1689934077, issued on May 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enfield, NC. The record was last updated on May 21, 2012.