Therapeutic Konec, Pllc | |
3600 N Duke St Ste 1085 Durham NC 27704-1709 | |
(919) 408-1874 | |
Not Available |
Full Name | Therapeutic Konec, Pllc |
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Speciality | Community/behavioral Health |
Location | 3600 N Duke St Ste 1085, Durham, North Carolina |
Authorized Official Name and Position | Ozella Maynard (OWNER) |
Authorized Official Contact | 9194081874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Therapeutic Konec, Pllc 3600 N Duke St Ste 1 Durham NC 27704-1769 Ph: (919) 408-1874 | Therapeutic Konec, Pllc 3600 N Duke St Ste 1085 Durham NC 27704-1709 Ph: (919) 408-1874 |
NPI Number | 1073285326 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 10/04/2021 |
Certification Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073285326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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