| John F. Kubiak, Lmft, Pllc | |
|
3206 Heritage Trade Dr Suite 108-a Wake Forest NC 27587-4487 | |
| (919) 302-8297 | |
| (919) 803-1770 |
| Full Name | John F. Kubiak, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3206 Heritage Trade Dr, Wake Forest, North Carolina |
| Authorized Official Name and Position | John F Kubiak (PROVIDER/OWNER) |
| Authorized Official Contact | 9193028297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John F. Kubiak, Lmft, Pllc 2025 Shadow Creek Dr Raleigh NC 27604-5891 Ph: (919) 302-8297 | John F. Kubiak, Lmft, Pllc 3206 Heritage Trade Dr Suite 108-a Wake Forest NC 27587-4487 Ph: (919) 302-8297 |
| NPI Number | 1841424918 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841424918 | NPI | - | NPPES |
| 6105162 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1156 (North Carolina) | Primary |
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