Individual
REBA ROYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MBA, MA
Contact information
Practice address
8312 LA MATISSE RD, RALEIGH, NC 27615-3358
(919) 880-5451
Mailing address
8312 LA MATISSE RD, RALEIGH, NC 27615-3358
(919) 880-5451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20472
NCSAPPB
NC
01
—
A10891
NC BLPC
NC
Enumeration date
11/25/2014
Last updated
11/25/2014
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