Individual
BRIAN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7389
(919) 448-6105
Mailing address
4116 ALPINE CLOVER DR, WAKE FOREST, NC 27587-3959
(919) 435-7127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12217
NC
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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