Healthcare Provider Details

I. General information

NPI: 1982480133
Provider Name (Legal Business Name): ABIGAIL RHAE ROJO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MEMORIAL DR
PINEHURST NC
28374-8712
US

IV. Provider business mailing address

284 EXECUTIVE PARK DR STE 100
CONCORD NC
28025-1833
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-6853
  • Fax:
Mailing address:
  • Phone: 336-257-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA23190
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: