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Organization

CARY FAMILY THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE RENEE BECKMANN MA, LMFT (OWNER)
(919) 740-2444
Entity
Organization

Contact information

Practice address
1143 EXECUTIVE CIR STE B, SUITE 201, CARY, NC 27511-4571
(919) 740-2444
(919) 724-4104
Mailing address
1143 EXECUTIVE CIR STE B, SUITE 201, CARY, NC 27511-4571
(919) 740-2444
(919) 724-4104

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1341
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105286
NC
Enumeration date
10/05/2011
Last updated
11/28/2012
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