Individual
MR. DONALD MRDJENOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCS
Contact information
Practice address
3820 BRIDGES ST, STE B, MOREHEAD CITY, NC 28557-2979
(252) 648-3124
Mailing address
113 ROCHELLE DR, APT. N-4, MOREHEAD CITY, NC 28557-2664
(252) 247-1109
(252) 247-1107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
251
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251
NC
251S00000X
Community/Behavioral Health Agency
MHL-016-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110564
—
NC
Enumeration date
01/26/2007
Last updated
10/02/2018
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