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Individual

MR. JAMES BEDFORD MUNDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LPC

Contact information

Practice address
107 W. LIBERTY STREET, HAMILTON, NC 27840
(252) 531-4166
(252) 825-1818
Mailing address
PO BOX 1030, BETHEL, NC 27812-1030
(252) 531-4166
(252) 825-1818

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5427
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143T1
BLUE CROSS BLUE SHIELD
NC
01
192251
MEDCOST
NC
05
6103296
NC
Enumeration date
11/03/2006
Last updated
03/11/2014
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