Individual
MARY ELIZABETH RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
134 PROFESSIONAL PARK DR, SUITE 400, MOORESVILLE, NC 28117-5599
(704) 664-1009
Mailing address
518 N HIGHWAY 16, DENVER, NC 28037-8245
(704) 664-1009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4605
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
1062
NC
101YP2500X
Professional Counselor
3
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2245861
CIGNA
NC
05
—
6102369
—
NC
01
—
E 2964
MEDCOST
NC
Enumeration date
08/31/2006
Last updated
07/06/2016
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