MEDICARE: BRENDA CAREY

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	3741	NC

General Provider Information

NPI Number	:	1942286109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA CAREY

Provider Business Mailing Address
First Line	:	7300 HAVEN WAY
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411
Country	:	US
Telephone Number	:	910-520-4393
Fax Number	:

Provider Business Practice Location Address
First Line	:	8048C MARKET ST.
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9384
Country	:	US
Telephone Number	:	910-520-4393
Fax Number	:

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	03/16/2009

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Directions to “ BRENDA CAREY ” Practice Location

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