Connect Counseling Services

NPI 1114324068 - Social Worker - 1041C0700X

NPI Details
NPI 1114324068
Enumeration Date 11/20/2014
Last Updated 11/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KELLI KELLI
Position OWNER
Phone (919) 346-6699
Fax
Practice Location
351 WAGONER DR
STE 319
FAYETTEVILLE NC, 28303-4608, US
Phone (919) 346-6699
Fax
Business Location
1200 S HORNER BLVD UNIT 1371
SANFORD NC, 27331-5664, US
Phone (919) 346-6699
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C007077
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According to our database, Connect Counseling Services NPI is 1114324068, taxonomy code is 1041C0700X and license number is C007077, license state is located at North Carolina. Connect Counseling Services physically located at 351 Wagoner Dr, Fayetteville NC, 28303-4608. NPI Number 1033115704 has the healthcare provider type.

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1114324068 NPI number is provided on an as is basis without warranty of any kind. 1114324068 is maintained by the National Plan & Provider Enumeration System. The contents of Connect Counseling Services are for informational purposes only.