Individual
MR. WILMER EUGENE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
170 DAVIDSON HWY, SUITE 101, CONCORD, NC 28027-4245
(704) 795-3060
(704) 784-9316
Mailing address
170 DAVIDSON HWY, SUITE 101, CONCORD, NC 28027-4245
(704) 795-3060
(704) 784-9316
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
NC-1512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135W1
BCBS PROVIDER OF NC
NC
05
—
6107151
—
NC
Enumeration date
08/17/2006
Last updated
07/08/2007
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