Phobia Treatment Center Of The Triad Inc Kenneth A Frazier | |
5318 W Friendly Ave Greensboro NC 27410-4349 | |
(336) 292-6947 | |
(336) 292-7409 |
Full Name | Phobia Treatment Center Of The Triad Inc Kenneth A Frazier |
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Speciality | Counselor |
Location | 5318 W Friendly Ave, Greensboro, North Carolina |
Authorized Official Name and Position | Kenneth A Frazier (PRESIDENT) |
Authorized Official Contact | 3362926947 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phobia Treatment Center Of The Triad Inc Kenneth A Frazier 5318 W Friendly Ave Greensboro NC 27410-4349 Ph: (336) 292-6947 | Phobia Treatment Center Of The Triad Inc Kenneth A Frazier 5318 W Friendly Ave Greensboro NC 27410-4349 Ph: (336) 292-6947 |
NPI Number | 1255366803 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1255366803 | NPI | - | NPPES |
0195V | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC341 (North Carolina) | Primary |
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