Organization
DIRECT REALISTIC COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMEN RAHEEM CROMWELL SR. DR. (OWNER)
(919) 332-9294
Entity
Organization
Contact information
Practice address
503 HIGHWAY 70, SUITE R, GARNER, NC 27529
(919) 706-9448
Mailing address
212 CRESTDALE DR, CLAYTON, NC 27520-5515
(919) 706-9448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/22/2019
Last updated
12/22/2020
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