Mamie Yvonne Addison LPC

NPI 1629274915 - Counselor - 101YP2500X

NPI Details
NPI 1629274915
Gender Female
Enumeration Date 06/22/2007
Last Updated 03/20/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
6723 RUSSELL RD
DURHAM NC, 27712-9619, US
Phone (919) 471-0733
Fax
Business Location
6723 RUSSELL RD
DURHAM NC, 27712-9619, US
Phone (919) 471-0733
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number 6541
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According to our database, Ms. Mamie Yvonne Addison LPC NPI is 1629274915, taxonomy code is 101YP2500X and license number is 6541, license state is located at North Carolina. Mamie Yvonne Addison LPC physically located at 6723 Russell Rd, Durham NC, 27712-9619. NPI Number Mamie Yvonne Addison LPC has the Individual type.

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1629274915 NPI number is provided on an as is basis without warranty of any kind. 1629274915 is maintained by the National Plan & Provider Enumeration System. The contents of Mamie Yvonne Addison LPC are for informational purposes only.