Individual
JAREM BAGNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Mailing address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27947
NC
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/28/2022
Last updated
10/12/2022
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