Individual
MR. DAVID THOMAS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT-A
Contact information
Practice address
8392 SIX FORKS RD STE 202, RALEIGH, NC 27615-3061
(919) 995-6998
Mailing address
257 MCDOWELL DR, WAKE FOREST, NC 27587-2571
(191) 265-6307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12443A
NC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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