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Individual

MRS. EILEEN CLEARY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1829 E FRANKLIN ST, SUITE 100-A, CHAPEL HILL, NC 27514-5861
(919) 960-4777
Mailing address
1926 CLEARWATER LAKE RD, CHAPEL HILL, NC 27517-9191
(919) 960-4777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
634
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23113
BLUE CROSS PROVIDER NUMBE
NC
Enumeration date
05/28/2006
Last updated
07/08/2007
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