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Individual

AMELIA LOUISE PEEBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3751 JUNCTION BLVD STE D, RALEIGH, NC 27603-5263
(919) 264-5332
Mailing address
3751 JUNCTION BLVD STE D, RALEIGH, NC 27603-5263
(919) 264-5332

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5053
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141X8
BCBS
NC
01
1699014076
COMMUNITY LINK COUNSELING SERVICES
NC
05
6102867
NC
01
743170946
TRICARE
NC
Enumeration date
01/28/2006
Last updated
10/20/2022
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