Organization · Type 2 NPI
Prosource Therapeutics LLC
Professional Counselor · Greenville, NC
NPI number
1992758429
Active
Practice location
102 Fox Haven Dr, Suite A
Greenville, NC 27858-7100
Fax (252) 353-7028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2971 (NC) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1992758429
Prosource Therapeutics LLC's National Provider Identifier is 1992758429, issued on May 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, NC. The record was last updated on Mar 26, 2009.