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Individual

DESTINY NICOLE BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
1500 E ASH ST, GOLDSBORO, NC 27530-5204
(919) 617-7478
(919) 438-0343
Mailing address
222 N MARION DR, GOLDSBORO, NC 27534-7613
(919) 763-5258
(919) 438-0343

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12778
NC

Other

Enumeration date
02/07/2017
Last updated
08/21/2025
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