Individual
MS. MARY L. DOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.A.
Contact information
Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 402-1060
Mailing address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 402-1060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A8278
NC
101YM0800X
Mental Health Counselor
A8278
NC
101YP1600X
Pastoral Counselor
A8278
NC
101YP2500X
Professional Counselor
A8278
NC
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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