Individual
NEIL EVAN RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6404 NURTURE AVE, RALEIGH, NC 27616-6744
(919) 928-7544
Mailing address
6404 NURTURE AVE, RALEIGH, NC 27616-6744
(919) 928-7544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12425A
NC
106H00000X
Marriage & Family Therapist
12425A
NC
106H00000X
Marriage & Family Therapist
Primary
2585
NC
Other
Enumeration date
06/16/2022
Last updated
08/21/2023
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