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Organization

AURORA THERAPEUTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN DAVID LEE (PRESIDENT)
(910) 797-8443
Entity
Organization

Contact information

Practice address
3930 BARDSTOWN CT, 101, FAYETTEVILLE, NC 28304-0815
(910) 797-8443
Mailing address
3930 BARDSTOWN CT, 101, FAYETTEVILLE, NC 28304-0815
(910) 797-8443

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
251B00000X
Case Management Agency

Other

Enumeration date
04/26/2024
Last updated
04/26/2024
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