Doctor Name: | FRIEDA L BRAZEAL |
NPI Number: | 1033369632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7114 |
Business Practice Address: | 2003 Godwin Ave Suite A Lumberton, NC - 283583197 |
Business Phone Number: | 9107398849 |
Business Fax Number: | 9107398698 |
Mailing Address: | 3210 Fairhill Drive, RALEIGH |
State: | NC |
Postal Code: | 276123220 |
Phone Number: | 9192560824 |
Fax Number: | 9192560833 |
NPI Enumeration Date: | 09/19/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |