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Organization
PREMIER COUNSELING
Active
Organization
PREMIER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVARES ANTWAN BOSTIC (PRESIDENT)
(585) 967-8396
Entity
Organization
Contact information
Practice address
207 CAROLYNS MILL PL, ROCKINGHAM, NC 28379-7986
(585) 967-8396
(910) 491-9715
Mailing address
207 CAROLYNS MILL PL, ROCKINGHAM, NC 28379-7986
(585) 967-8396
(910) 491-9715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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