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Organization
FAMILY COUNSELING SERVICE OF DURHAM, INC.
Active
Organization
FAMILY COUNSELING SERVICE OF DURHAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HUNTOON (EXECUTIVE DIRECTOR)
(919) 416-4400
Entity
Organization
Contact information
Practice address
1058 W CLUB BLVD, SUITE 6662, DURHAM, NC 27701-1104
(919) 416-4400
(919) 416-4404
Mailing address
1058 W CLUB BLVD, SUITE 6662, DURHAM, NC 27701-1104
(919) 416-4400
(919) 416-4404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005689
MAGELLAN BEHAVIORAL ID
NC
01
—
0181F
BCBSNC ID NUMBER
NC
01
—
107336
UNITED BEHAVIORAL ID
NC
01
—
118413
BEHAVIORAL HEALTH ID
NC
05
—
6003809
—
NC
Enumeration date
12/20/2006
Last updated
08/22/2020
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