Individual
MR. EMMITT MAXWELL FURNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
104 LAKE AVE, SPRING LAKE, NC 28390-3937
(202) 725-8826
Mailing address
375 AIKEN RD, VASS, NC 28394-9299
(202) 725-8826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13362
NC
Other
Enumeration date
06/02/2018
Last updated
06/02/2018
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