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Organization
COUNTY OF CUMBERLAND
Active
Organization
COUNTY OF CUMBERLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENSIE D LUCAS (ASSISTANT AREA DIRECTOR)
(910) 323-0601
Entity
Organization
Contact information
Practice address
711 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5193
(910) 323-0601
(910) 323-0096
Mailing address
PO BOX 3069, FAYETTEVILLE, NC 28302-3069
(910) 323-0601
(910) 323-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/07/2007
Last updated
01/16/2008
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