Organization
DIAPHERO CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN DUFFY LPC, LPCS (CO-OWNER)
(919) 708-3357
Entity
Organization
Contact information
Practice address
1911 KELLER ANDREWS RD, SANFORD, NC 27330-7179
(919) 777-9355
Mailing address
1911 KELLER ANDREWS RD, SANFORD, NC 27330-7179
(919) 777-9355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S4828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679625057
NPI
NC
Enumeration date
08/21/2013
Last updated
08/21/2013
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