Healthcare Provider Details

I. General information

NPI: 1477604007
Provider Name (Legal Business Name): MONICA ZOZONE OSBURN PH.D, LPC, NCC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 SHERWOOD RD
LUMBERTON NC
28358-9189
US

IV. Provider business mailing address

441 SHERWOOD RD
LUMBERTON NC
28358-9189
US

V. Phone/Fax

Practice location:
  • Phone: 910-738-1112
  • Fax:
Mailing address:
  • Phone: 910-738-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4206
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00250200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: