Creech Road Supervised Gare
Creech Road Supervised Gare is a Mental Health Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.
- Licensed in
- NC
- In the registry since
- 2012
Practice location Address checks out
311 New Bern Ave # 27991Raleigh, NC 27611-0801
Phone: (919) 961-1392
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MHL 092761 (NC) |
|---|
Record details
| NPI number | 1689918641 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ezekiel Wilson — Owner · (919) 961-1392 |
| Other names | Ezekiel Wilson |
| NPI enumerated | November 15, 2012 |
| Last updated in NPPES | November 15, 2012 |
| Mailing address | 808 Creech Rd, Garner, NC 27529-2916 |
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