Facts
- Status
- A
- Credential
- LPC
- Type
- Individual
- Enumeration date
- 2006-12-28
- Last updated
- 2010-09-28
Specialties
Licenses
- License WA
- LH00009894
Location
- Practice location
- 2117 S GLENBURNIE RD
- City
- NEW BERN NC
- Postal code
- 285622280
- Phone
- 252-633-3855
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.