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NPI Code Detail

MEDICARE: MARIA GLADYS TRIOLO NCC, LPC

MEDICARE:   MARIA GLADYS TRIOLO  NCC, LPC
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
1101YP2500XProfessional Counselor6841NC

General Provider Information

NPI Number : 1679700645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GLADYS TRIOLO NCC, LPC
Provider Business Mailing Address
First Line : 2605 STRATFORD HALL DR
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6810
Country : US
Telephone Number : 919-556-6906
Fax Number :
Provider Business Practice Location Address
First Line : 3000 HIGHWOODS BLVD
Second Line : #128
City : RALEIGH
State : NC
Zip : 27604-1027
Country : US
Telephone Number : 919-790-8533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/17/2009

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Directions to “ MARIA GLADYS TRIOLO NCC, LPC” Practice Location

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