Hidden Wounds Family Therapy Pllc | |
201 E Academy St Ste 110 Fuquay Varina NC 27526-2248 | |
(919) 762-6558 | |
Not Available |
Full Name | Hidden Wounds Family Therapy Pllc |
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Speciality | Counselor - Mental Health |
Location | 201 E Academy St Ste 110, Fuquay Varina, North Carolina |
Authorized Official Name and Position | Steven Ellsworth Cline (OWNER/LICENSED MARRIAGE AND FAMILY) |
Authorized Official Contact | 9197626558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hidden Wounds Family Therapy Pllc 201 E Academy St Ste 110 Fuquay Varina NC 27526-2248 Ph: (919) 762-6558 | Hidden Wounds Family Therapy Pllc 201 E Academy St Ste 110 Fuquay Varina NC 27526-2248 Ph: (919) 762-6558 |
NPI Number | 1144827064 |
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Provider Enumeration Date | 10/04/2020 |
Last Update Date | 10/04/2020 |
Certification Date | 10/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144827064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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