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100 Professional Ct Ste 103 Garner NC 27529-7971 | |
| (910) 897-8930 | |
| (910) 897-8932 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Professional Ct Ste 103, Garner, North Carolina |
| Authorized Official Name and Position | Steven N Scoggin (PRESIDENT) |
| Authorized Official Contact | 3367167578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 489 Erwin NC 28339-0489 Ph: (910) 897-8930 | 100 Professional Ct Ste 103 Garner NC 27529-7971 Ph: (910) 897-8930 |
| NPI Number | 1801149273 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801149273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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