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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MANAGER/OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
288 EAST STREET, SUITE 1002, PITTSBORO, NC 27312-9759
(919) 542-1213
(919) 542-1290
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006516
—
NC
Enumeration date
09/26/2008
Last updated
09/22/2009
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