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Organization

FORGED BY FIRE COUNSELING SERVICES, LLC

Active
Other names
FORGED BY FIRE COUNSELING SERVICES, Mary Lynn Campbell
Organization subpart
No

Provider details

NPI number
Authorized official
MARY LYNN CAMPBELL LCAS 30162 (OWNER/CEO)
(472) 208-7904
Entity
Organization

Contact information

Practice address
1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
(472) 208-7904
Mailing address
1532 VANDENBERG DR, FAYETTEVILLE, NC 28312-7639
(472) 208-7904

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
11/22/2024
Last updated
03/31/2025
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