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Derek Mark Gough
Professional Counselor in Pittsboro, North Carolina
NPI 1528103546

Derek Mark Gough is a Professional Counselor based in Pittsboro, NC and is specialized in Professional. Derek Mark Gough practices in Pittsboro, NC. The NPI Number for Derek Mark Gough is 1528103546 and holds a License No. 2369 (North Carolina).

The current practice location address for Derek Mark Gough is 224 East St, Pittsboro, NC and can be reached out via phone at 919-542-0747.

Location: 224 East St, Pittsboro, NC, 27312-9750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528103546
Provider Name
Derek Mark Gough
Credential
Provider Entity Type
Individual
Gender
Male
Address
224 East St, Pittsboro, NC, 27312-9750
Phone Number
919-542-0747
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103515 05 NC
institution
Provider Business Practice Location Address Details
Address
224 East St
City
Pittsboro
State
North Carolina
Zip
27312-9750
Phone Number
919-542-0747
Fax Number
person
Provider Business Mailing Address Details
Address
224 East St
City
Pittsboro
State
North Carolina
Zip
27312-9750
Phone Number
919-542-0747
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2369 (North Carolina)
Definition
Definition to come...
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