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Organization

BEACON PSYCHOTHERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW ROBERT KREINER LCSW (OWNER)
(614) 560-3322
Entity
Organization

Contact information

Practice address
1135 KILDAIRE FARM RD STE 315, CARY, NC 27511-4587
(919) 794-5490
Mailing address
1135 KILDAIRE FARM RD STE 315, CARY, NC 27511-4587
(919) 794-5490

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/07/2021
Last updated
12/07/2021
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