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Individual

MRS. COLLEEN DOUGHERTY RAPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCAS

Contact information

Practice address
4205 DEWFIELD DR N, WILSON, NC 27896-8975
(252) 237-1514
Mailing address
4205 DEWFIELD DR N, WILSON, NC 27896-8975
(252) 237-1514

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167
NC
101YS0200X
School Counselor
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6112231
NC
Enumeration date
01/03/2011
Last updated
12/01/2012
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