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2506 Nash St N Wilson NC 27896-1393 | |
(252) 371-1385 | |
Not Available |
Full Name | |
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Speciality | Counselor - Professional |
Location | 2506 Nash St N, Wilson, North Carolina |
Authorized Official Name and Position | Cheri Leshune Pullen (OWNER) |
Authorized Official Contact | 2523145616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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220 Sebastian Way Rocky Mount NC 27804-9099 Ph: () - | 2506 Nash St N Wilson NC 27896-1393 Ph: (252) 371-1385 |
NPI Number | 1043712649 |
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Provider Enumeration Date | 02/28/2018 |
Last Update Date | 02/28/2018 |
Identifier | Type | State | Issuer |
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1043712649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | 21350 (North Carolina) | Secondary |
101YP2500X | Counselor - Professional | 10883 (North Carolina) | Primary |
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