Individual
MRS. MIRANDA YVONNE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,NCC,BCC,LCAS-A
Contact information
Practice address
401 S MARKET ST, BENSON, NC 27504-1725
(919) 894-8002
(919) 894-8036
Mailing address
PO BOX 1108, BENSON, NC 27504-5108
(919) 464-4255
(919) 894-8036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6777
NC
101YP2500X
Professional Counselor
Primary
6777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103779
—
NC
Enumeration date
12/11/2007
Last updated
06/24/2015
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