Doctor Name: | DR. MARY-JEANNE RALEIGH |
NPI Number: | 1073729166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 644 |
Business Practice Address: | 1 University Drive Chavis University Center Pembroke, NC - 283721510 |
Business Phone Number: | 9105216202 |
Business Fax Number: | |
Mailing Address: | Po Box 1510, PEMBROKE |
State: | NC |
Postal Code: | 283721510 |
Phone Number: | 6035685250 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |