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Organization

FOUNDATIONS UNITED, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LA VERA C POTTS LPC (CEO)
(919) 900-7140
Entity
Organization

Contact information

Practice address
183 WIND CHIME CT, RALEIGH, NC 27615-6461
(919) 900-7140
(919) 848-3140
Mailing address
183 WIND CHIME CT, RALEIGH, NC 27615-6461
(919) 900-7140
(919) 848-3140

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5073
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NORTH CAROLINA
NC
Enumeration date
10/27/2010
Last updated
10/27/2010
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