Individual
CLYDE HAROLD PAUL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
(252) 353-0100
Mailing address
1157 TWISTING CREEK RD, GREENVILLE, NC 27834-9818
(252) 484-3871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10589
NC
101YP2500X
Professional Counselor
A10589
NC
Other
Enumeration date
11/05/2014
Last updated
05/18/2017
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