Individual
BERNARD P REARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCAS, LCSW-P
Contact information
Practice address
111 WINDEL DR STE 205, RALEIGH, NC 27609-4477
(919) 233-0378
Mailing address
8213 HOLLY SPRINGS RD, RALEIGH, NC 27606-8403
(919) 233-0378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA400X
NC
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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