Individual
GENE MCPHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 MAYFAIR ST, DURHAM, NC 27701
(919) 201-4032
Mailing address
3545 MAYFAIR ST, DURHAM, NC 27707-2621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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