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NPI Code Detail

MEDICARE: ADRIANA ELISABETA SERBAN CFPPC

MEDICARE: ADRIANA ELISABETA SERBAN CFPPC
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
1101YP1600XPastoral Counselor109NC

General Provider Information

NPI Number : 1841748548
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA ELISABETA SERBAN CFPPC
Provider Business Mailing Address
First Line : 1801 E FIFTH ST
Second Line : SUITE 110
City : CHARLOTTE
State : NC
Zip : 28204-2379
Country : US
Telephone Number : 704-375-5354
Fax Number : 704-375-3069
Provider Business Practice Location Address
First Line : 1030 BURRAGE RD NE
Second Line :
City : CONCORD
State : NC
Zip : 28025-2910
Country : US
Telephone Number : 704-375-5354
Fax Number : 704-375-3069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2016
Last Update Date : 09/12/2016

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