MEDICARE: DR. MARY M MISENHIMER-HARPRING PHD, NCC, LPCA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467545350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY M MISENHIMER-HARPRING PHD, NCC, LPCA

Provider Business Mailing Address
First Line	:	7911 DUKES DYNASTY DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-8049
Country	:	US
Telephone Number	:	443-668-4323
Fax Number	:

Provider Business Practice Location Address
First Line	:	308-A MILLBROOK ROAD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-3335
Country	:	US
Telephone Number	:	919-848-2100
Fax Number	:	919-848-2009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/11/2011

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