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Organization
ROBERT C. PENNEBAKER PLLC
Active
Organization
ROBERT C. PENNEBAKER PLLC
Active
Other names
Cumberland Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHRISTOPHER PENNEBAKER PMHNP-BC, LCSW (PRESIDENT)
(910) 977-1396
Entity
Organization
Contact information
Practice address
2931 BREEZEWOOD AVE STE 104, FAYETTEVILLE, NC 28303-5281
(910) 491-1134
(910) 491-1332
Mailing address
5774 WATERS EDGE DR, FAYETTEVILLE, NC 28314-1055
(910) 977-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C002032
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005524
NC
Other
Enumeration date
09/30/2013
Last updated
11/30/2020
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