Individual
MR. JOHN MARION RADFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
101-2F EAST MARKET STREET, SMITHFIELD, NC 27577
(919) 915-5567
Mailing address
PO BOX 574, SELMA, NC 27576-0574
(919) 915-5567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11518
NC
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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