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Individual

SARA PASCUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC

Contact information

Practice address
1708 TRAWICK RD, STE 101, RALEIGH, NC 27604
(919) 641-2322
(919) 852-5323
Mailing address
1708 TRAWICK RD, STE 101, RALEIGH, NC 27604
(919) 256-0824
(919) 256-0833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A8414
NC
104100000X
Social Worker
Primary
8414
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NCMC128496
NC
Enumeration date
02/10/2012
Last updated
12/06/2013
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