Individual
KIMBERLY M AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1903 N HARRISON AVE STE 201, CARY, NC 27513-3093
(919) 624-9568
(919) 404-7124
Mailing address
1903 N HARRISON AVE STE 201, CARY, NC 27513-3093
(919) 624-9568
(919) 404-7124
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12088A
NC
Other
Enumeration date
05/17/2018
Last updated
01/14/2020
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