Organization
BEHAVIORAL ASSOCIATES OF ASHEBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA L DANIEL (OFFICE MANAGER)
(336) 629-7112
Entity
Organization
Contact information
Practice address
547 N. FAYETTEVILLIE STREET, ASHEBORO, NC 27205
(336) 629-7112
(336) 629-0312
Mailing address
547 N. FAYETTEVILLIE STREET, ASHEBORO, NC 27204
(336) 629-7112
(336) 629-0312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111760
—
NC
Enumeration date
05/23/2006
Last updated
08/22/2020
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