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Individual

DR. MADISON BERESFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3204 HERITAGE TRADE DR STE 100, WAKE FOREST, NC 27587-4055
(919) 885-6232
Mailing address
3204 HERITAGE TRADE DR STE 100, WAKE FOREST, NC 27587-4055
(919) 885-6232

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
12/30/2015
Last updated
08/11/2026
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