Individual
MS. BETH NOEL RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
907 HAY ST, FAYETTEVILLE, NC 28305-5366
(910) 483-2695
(910) 263-8295
Mailing address
907 HAY ST, FAYETTEVILLE, NC 28305-5366
(910) 483-2695
(910) 263-8295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21539
NC
1041C0700X
Clinical Social Worker
Primary
P008806
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
IPRS
—
05
—
104100000X
—
NC
Enumeration date
04/05/2016
Last updated
04/05/2016
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