Organization
JOHN F. KUBIAK, LMFT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F KUBIAK LMFT (PROVIDER/OWNER)
(919) 302-8297
Entity
Organization
Contact information
Practice address
3206 HERITAGE TRADE DR, SUITE 108-A, WAKE FOREST, NC 27587-4487
(919) 302-8297
(919) 803-1770
Mailing address
2025 SHADOW CREEK DR, RALEIGH, NC 27604-5891
(919) 302-8297
(919) 803-1770
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105162
—
NC
Enumeration date
05/05/2009
Last updated
05/05/2009
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