Individual
NEGAT NEGUSSIE-RETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LPCA
Contact information
Practice address
106 W CHURCH ST, SUITE H, CREEDMOOR, NC 27522-9766
(919) 885-4046
(919) 477-1848
Mailing address
PO BOX 73081, DURHAM, NC 27722-3081
(919) 885-4046
(919) 477-1848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11273
NC
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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