Individual
DEMIRA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 CLINTON RD, FAYETTEVILLE, NC 28312-8517
(910) 920-1050
Mailing address
4032 LEMUEL FARM RD, FAYETTEVILLE, NC 28312-9274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19206
NC
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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