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Organization

REROOTED COUNSELING SERVICES PLLC

Active
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Organization

REROOTED COUNSELING SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARISSA GOODING-AYTCH (OWNER/LEAD CLINICIAN)
(984) 500-5719
Entity
Organization

Contact information

Practice address
3011 TOWN CENTER DRIVE, STE 130 UNIT 152, FAYETTEVILLE, NC 28306-0049
(984) 500-5719
Mailing address
4145 TREVINO DR, DURHAM, NC 27704-3282
(984) 500-5719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
11/20/2024
Last updated
11/21/2024
About Stedi
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  • EDI platform