Provider Information for 1558002071
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TAKESHA BRIGGINS LCMHC
Sex: Female
NPI: 1558002071
Last Updated: 2023-02-17
Certification Date: 2023-02-14
Certification Date: 2023-02-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558002071 | ||||||||
| Enumeration Date | 2022-04-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 WESTOVER DR SANFORD, NC 27330-8941 United States Phone: 336-446-9809 | Fax: | ||||||||
| Primary Practice Address | 4210 BONNAR BRG PKWY BURLINGTON, NC 27215 United States Phone: 336-446-9809 | Fax: | ||||||||
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