Individual
MR. RANSFORD AUTHURBURY NEIL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1373 WESTGATE CENTER DR, SUITE 210, WINSTON SALEM, NC 27103-2934
(336) 416-0016
(336) 766-3061
Mailing address
1373 WESTGATE CENTER DR, SUITE 210, WINSTON SALEM, NC 27103-2934
(336) 416-0016
(336) 766-3061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102698
—
NC
Enumeration date
07/12/2006
Last updated
07/08/2007
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