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Organization
NC CHRISTIAN COUNSELOR
Active
Organization
NC CHRISTIAN COUNSELOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN AUBREY HENRY JR. MDIV, MA (LPCA)
(919) 949-7701
Entity
Organization
Contact information
Practice address
2031 W CLUB BLVD, DURHAM, NC 27705-3209
(919) 949-7701
Mailing address
2031 W CLUB BLVD, DURHAM, NC 27705-3209
(919) 949-7701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
A10571
NC
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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