MEDICARE: CUMBERLAND COUNTY SCHOOLS

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
1	251300000X	Local Education Agency (LEA)	0103	NC

General Provider Information

NPI Number	:	1033379466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND COUNTY SCHOOLS

Provider Business Mailing Address
First Line	:	4644 CLINTON RD
Second Line	:	MAC WILLIAMS MIDDLESCHOOL
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28312
Country	:	US
Telephone Number	:	191-067-8230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2491 GILLESPIE ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-3053
Country	:	US
Telephone Number	:	191-067-8230
Fax Number	:	910-483-4831

Authorized Official
Title or Position	:	SCHOOL COUNSELOR
Name	:	MS. ANDRETTA L HALES
Credential	:	MS NBCC LPC
Telephone Number	:	19104838222

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	06/11/2008

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Directions to “CUMBERLAND COUNTY SCHOOLS ” Practice Location

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