Individual
MICHAEL WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
487 ROLLING MEADOWS DR, CLAYTON, NC 27527-8340
(703) 901-7951
Mailing address
487 ROLLING MEADOWS DR, CLAYTON, NC 27527-8340
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11017A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14054318
CAQH
—
Enumeration date
08/05/2017
Last updated
06/16/2018
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