Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Active
Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD ROBINSON LCSW-A (MST PROGRAM SUPERVISOR/OPT)
(919) 771-3128
Entity
Organization
Contact information
Practice address
3801 LAKE BOONE TRL, RALEIGH, NC 27607-2934
(919) 771-3128
Mailing address
3801 LAKE BOONE TRL, RALEIGH, NC 27607-2934
(919) 771-3128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P006686
NC
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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