Individual
I-ASIA POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BIG OAK CT STE A, KNIGHTDALE, NC 27545-6565
(919) 679-3195
(919) 679-3195
Mailing address
7209 STEPHEN BOYD CT, RALEIGH, NC 27616-5642
(919) 949-3623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
08/07/2025
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