Individual
GENELL N. RASHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 323-2574
Mailing address
109 BRADFORD AVE, P.O. BOX 3069, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 323-2574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3806
NC
103TH0100X
Health Service Psychologist
3806
NC
171M00000X
Case Manager/Care Coordinator
3806
NC
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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