Individual
JAIME REYES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
(910) 484-5781
Mailing address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
(910) 484-5781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8049
NC
Other
Enumeration date
12/09/2010
Last updated
03/29/2013
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