| Uncg | |
|
524 Highland Avenue Greensboro NC 27412-5018 | |
| (336) 334-5112 | |
| (336) 256-0121 |
| Full Name | Uncg |
|---|---|
| Speciality | Counselor - Professional |
| Location | 524 Highland Avenue, Greensboro, North Carolina |
| Authorized Official Name and Position | A. Keith Mobley (CLINICAL PROFESSOR/CLINIC DIRECTOR) |
| Authorized Official Contact | 3363345215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncg 524 Highland Avenue Greensboro NC 27412-5018 Ph: (336) 334-5112 | Uncg 524 Highland Avenue Greensboro NC 27412-5018 Ph: (336) 334-5112 |
| NPI Number | 1992254114 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992254114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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