Organization
KATESHA S. CROMWELL
Active
Other names
Fernandez Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATESHA SHANEE CROMWELL LCSWA (PROVISIONAL OUTPATIENT THERAPIST)
(757) 751-5328
Entity
Organization
Contact information
Practice address
1201 PARABLE WAY, CARY, NC 27519-0897
(757) 751-5328
Mailing address
1201 PARABLE WAY, CARY, NC 27519-0897
(757) 751-5328
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P009061
NC
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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