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Provider Information for 1841770682


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Ms. CRYSTAL SCARBOROUGH ( MA, LPCA, NCC)


Sex: Female

NPI: 1841770682
Last Updated: 2019-08-20
Certification Date:

Details

NameValue
NPI1841770682
Enumeration Date2018-08-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604-6445
United States

Phone: | Fax:
 
Primary Practice Address 3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
United States

Phone: 919-413-0346 | Fax:
 
Secondary Practice Address(es)

4917 R B DR
RALEIGH, NC 27616-5262
United States

Phone: 919-744-1373 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNCA13950