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NPI Code Detail

MEDICARE: PERSON FIRST COUNSELING SERVICES PLLC

MEDICARE: PERSON FIRST COUNSELING SERVICES PLLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2225C00000XRehabilitation Counselor
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235896648
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSON FIRST COUNSELING SERVICES PLLC
Provider Business Mailing Address
First Line : 3650 ROGERS RD # PMB324
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9306
Country : US
Telephone Number : 919-302-8800
Fax Number :
Provider Business Practice Location Address
First Line : 6514 OLD WAKE FOREST RD
Second Line : #100
City : RALEIGH
State : NC
Zip : 27616
Country : US
Telephone Number : 919-302-8800
Fax Number :
Authorized Official
Title or Position : OWNER/MEMBER
Name : DR. JENNIFER J WRIGHT MCDOUGAL
Credential : LCMHC, LCAS, CRC
Telephone Number : 919-302-8800
Provider Enumeration Date : 11/19/2021
Last Update Date : 12/30/2024

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Directions to “PERSON FIRST COUNSELING SERVICES PLLC ” Practice Location

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