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Organization
TRAILHEAD PSYCHOTHERAPY
Active
Organization
TRAILHEAD PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOSSEFIN MSW, LCSW, LCAS, CSI (OWNER, PSYCHOTHERAPIST)
(919) 886-4971
Entity
Organization
Contact information
Practice address
3329 DURHAM CHAPEL HILL BLVD STE 200E, DURHAM, NC 27707-6240
(919) 886-4971
Mailing address
3329 DURHAM CHAPEL HILL BLVD STE 200E, DURHAM, NC 27707-6240
(919) 886-4971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538670336
NPPES
—
Enumeration date
07/30/2024
Last updated
07/30/2024
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