Individual
MR. NEEDHAM FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
1430 MCCARTHY BLVD, NEW BERN, NC 28562-2002
(252) 633-2516
Mailing address
470 STATEN RD, NEW BERN, NC 28562-5425
(252) 571-0983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NC
Other
Enumeration date
04/23/2017
Last updated
04/24/2017
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