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Individual

MR. JAMES BAGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LCAS, CSAC

Contact information

Practice address
204 FALCON RUN, MIDDLESEX, NC 27557-9361
(919) 915-6322
(919) 284-0366
Mailing address
204 FALCON RUN, MIDDLESEX, NC 27557-9361
(919) 915-6322
(919) 284-0366

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1205
NC

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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