Organization
PHOBIA COUNSELING CENTER OF THE TRIAD INC
Active
Other names
Phobia Treatment Center of the Triad Inc Kenneth A Frazier
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A FRAZIER (PRESIDENT)
(336) 292-6947
Entity
Organization
Contact information
Practice address
5318 W FRIENDLY AVE, GREENSBORO, NC 27410-4349
(336) 292-6947
(336) 292-7409
Mailing address
5318 W FRIENDLY AVE, GREENSBORO, NC 27410-4349
(336) 292-6947
(336) 292-7409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195V
BCBS
NC
Enumeration date
07/12/2006
Last updated
08/22/2020
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