| North Fourth Counseling And Psycological Services Group, Pllc | |
|
2018 Fort Bragg Rd Suite 110 Fayetteville NC 28303-7037 | |
| (910) 273-0265 | |
| (910) 483-3400 |
| Full Name | North Fourth Counseling And Psycological Services Group, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2018 Fort Bragg Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Ronald Ray Johnson (CO-OWNER) |
| Authorized Official Contact | 9102730265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fourth Counseling And Psycological Services Group, Pllc 2018 Ft. Bragg Road Suite 110 Fayetteville NC 28303-7037 Ph: (910) 273-0265 | North Fourth Counseling And Psycological Services Group, Pllc 2018 Fort Bragg Rd Suite 110 Fayetteville NC 28303-7037 Ph: (910) 273-0265 |
| NPI Number | 1619328077 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 06/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619328077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3148 (North Carolina) | Primary |
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