Individual
JULIAN THOMAS SLAYDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
424 W KINGS HWY STE D, SUITE 2, EDEN, NC 27288-5076
(336) 552-5986
Mailing address
424 W KINGS HWY STE D, SUITE 2, EDEN, NC 27288-5076
(336) 552-5986
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140NU
BLUE CROSS BLUE SHIELD
NC
05
—
6105092
—
NC
Enumeration date
07/27/2006
Last updated
07/06/2012
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