Organization
INDEPENDENCE HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F. BLACKBURN PH.D. (MANAGING PARTNER)
(919) 830-5749
Entity
Organization
Contact information
Practice address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7321
(919) 830-5749
Mailing address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7321
(919) 830-5749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3290
NC
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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