| |
66 Walnut St Suite 4 Waynesville NC 28786-3283 | |
(828) 246-9751 | |
(182) 864-9716 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 66 Walnut St, Waynesville, North Carolina |
Authorized Official Name and Position | Robin R Minick (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8282469751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 596 Waynesville NC 28786-0596 Ph: (828) 246-9751 | 66 Walnut St Suite 4 Waynesville NC 28786-3283 Ph: (828) 246-9751 |
NPI Number | 1609310226 |
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Provider Enumeration Date | 12/16/2016 |
Last Update Date | 12/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609310226 | NPI | - | NPPES |
1144594920 | Other | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8937 (North Carolina) | Primary |
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