Individual
ALLEN DAVID MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
704 RESPLENDENT PL, RALEIGH, NC 27603-3670
(336) 633-9677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15346
NC
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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