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Individual

ELIZABETH ANN MONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC, LPA

Contact information

Practice address
711 EXECUTIVE PL FL 4, FAYETTEVILLE, NC 28305-5193
(910) 615-3333
(910) 615-9765
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12944
NC
103T00000X
Psychologist
Primary
5046
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790234177
NC
Enumeration date
09/27/2016
Last updated
07/19/2023
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