Individual
ANDREA COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 SCHAUB DR, SUITE 201, RALEIGH, NC 27606-1862
(919) 834-2000
(919) 834-2001
Mailing address
1011 SCHAUB DR, SUITE 201, RALEIGH, NC 27606-1862
(919) 834-2000
(919) 834-2001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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