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NPI Code Detail

MEDICARE: CARLA LUCIA M. ED. LPC

MEDICARE:   CARLA  LUCIA  M. ED. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3526NC

General Provider Information

NPI Number : 1730116278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA LUCIA M. ED. LPC
Provider Business Mailing Address
First Line : PO BOX 13006
Second Line :
City : RALEIGH
State : NC
Zip : 27605-3006
Country : US
Telephone Number : 919-345-6103
Fax Number : 919-835-4322
Provider Business Practice Location Address
First Line : 4010 BARRETT DR STE 201
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6650
Country : US
Telephone Number : 919-345-6103
Fax Number : 919-835-4322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 01/02/2020

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Directions to “ CARLA LUCIA M. ED. LPC” Practice Location

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