Organization
BRIDGEWAY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA MOSS LPC (OWNER)
(919) 294-4220
Entity
Organization
Contact information
Practice address
9660 FALLS OF NEUSE RD, STE 138 PMB 173, RALEIGH, NC 27615
(919) 294-4220
Mailing address
9660 FALLS OF NEUSE RD, STE 138 PMB 173, RALEIGH, NC 27615
(919) 294-4220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8100
NC
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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