| Clinical Services Associates, Llc | |
|
111 Lamon St Ste 212 Fayetteville NC 28301-4957 | |
| (910) 429-2222 | |
| Not Available |
| Full Name | Clinical Services Associates, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 111 Lamon St Ste 212, Fayetteville, North Carolina |
| Authorized Official Name and Position | Doris Ann Moore-russell (PARTNER) |
| Authorized Official Contact | 9104292222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Services Associates, Llc 111 Lamon St Ste 212 Fayetteville NC 28301-4957 Ph: () - | Clinical Services Associates, Llc 111 Lamon St Ste 212 Fayetteville NC 28301-4957 Ph: (910) 429-2222 |
| NPI Number | 1134320427 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134320427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C004369 (North Carolina) | Primary |
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