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NPI Code Detail

MEDICARE: ADRIENNE NAGARAJ LCMHCA

MEDICARE: ADRIENNE NAGARAJ LCMHCA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health CounselorA19518NC

General Provider Information

NPI Number : 1063069672
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE NAGARAJ LCMHCA
Provider Business Mailing Address
First Line : 1020 WASHINGTON ST
Second Line :
City : RALEIGH
State : NC
Zip : 27605-1258
Country : US
Telephone Number : 828-527-6102
Fax Number :
Provider Business Practice Location Address
First Line : 1020 WASHINGTON ST
Second Line :
City : RALEIGH
State : NC
Zip : 27605-1258
Country : US
Telephone Number : 828-527-6102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2019
Last Update Date : 01/24/2024

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Directions to “ ADRIENNE NAGARAJ LCMHCA” Practice Location

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