| Counseling For Kids And Teens | |
|
839c Wake Forest Business Park Suite C Durham Hwy Wake Forest NC 27587-6561 | |
| (919) 801-0337 | |
| Not Available |
| Full Name | Counseling For Kids And Teens |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 839c Wake Forest Business Park, Wake Forest, North Carolina |
| Authorized Official Name and Position | Suzanne Marie Brady (ORGANIZER AND MEMBER) |
| Authorized Official Contact | 9198010337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling For Kids And Teens 3901 Toyon Dr Raleigh NC 27616-8600 Ph: (919) 801-0337 | Counseling For Kids And Teens 839c Wake Forest Business Park Suite C Durham Hwy Wake Forest NC 27587-6561 Ph: (919) 801-0337 |
| NPI Number | 1871736058 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871736058 | NPI | - | NPPES |
| 6002510 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003403 (North Carolina) | Primary |
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