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2515 Watson Ave Ste A Sanford NC 27332-6174 | |
(984) 977-8322 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 2515 Watson Ave Ste A, Sanford, North Carolina |
Authorized Official Name and Position | Cecilia Smith Allen (DIRECTOR) |
Authorized Official Contact | 9107590374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1916 Brookcliff Rd Ste A Sanford NC 27330-7706 Ph: (910) 759-0374 | 2515 Watson Ave Ste A Sanford NC 27332-6174 Ph: (984) 977-8322 |
NPI Number | 1174370845 |
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Provider Enumeration Date | 05/01/2024 |
Last Update Date | 10/21/2024 |
Certification Date | 10/21/2024 |
Medicare PECOS PAC ID | 7517400807 |
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Medicare Enrollment ID | O20240614001245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174370845 | NPI | - | NPPES |
1827958 | Other | NC | NC DEPARTMENT OF SECRETARY OF STATE |
Provider Name | Cecilia Smith Allen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235787227 PECOS PAC ID: 8426591710 Enrollment ID: I20240705001285 |
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