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Prosource Therapeutics, Llc
Professional Counselor in Tarboro, North Carolina
NPI 1720225014

Prosource Therapeutics, Llc is a Professional Counselor based in Greenville, NC and is specialized in Professional. Prosource Therapeutics, Llc practices in Tarboro, NC. The NPI Number for Prosource Therapeutics, Llc is 1720225014 and holds a License No. (North Carolina).

The current practice location address for Prosource Therapeutics, Llc is 201 E Pitt St, Tarboro, NC and can be reached out via phone at 252-353-7025.

Location: 201 E Pitt St, Tarboro, NC, 27858-9720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720225014
Provider Name
Prosource Therapeutics, Llc
Credential
Provider Entity Type
Organization
Address
201 E Pitt St, Tarboro, NC, 27858-9720
Phone Number
252-353-7025
Fax Number
Provider Enumeration Date
01/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017PN 01 NC NC BLUE CROSS BLUE SHIELD
6005734 05 NC
institution
Provider Business Practice Location Address Details
Address
201 E Pitt St
City
Tarboro
State
North Carolina
Zip
27886-5192
Phone Number
252-353-7025
Fax Number
person
Provider Business Mailing Address Details
Address
201 E Pitt St
City
Tarboro
State
North Carolina
Zip
27886-5192
Phone Number
252-353-7025
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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