Individual
MARY BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6885 CLIFFDALE RD, FAYETTEVILLE, NC 28314-2833
(910) 339-0400
Mailing address
6885 CLIFFDALE RD, FAYETTEVILLE, NC 28314-2833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12128
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13771002
ALLIANCE BEHAVIORAL HEALTHCARE CAQH
NC
Enumeration date
02/15/2016
Last updated
02/23/2016
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