Doctor Name: | MRS. ROSA MCALLISTER-MCRAE |
NPI Number: | 1104111467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4777 |
Business Practice Address: | 120 Sprucepine Dr Raeford, NC - 283768452 |
Business Phone Number: | 9106953725 |
Business Fax Number: | 9106953981 |
Mailing Address: | 120 Sprucepine Dr, RAEFORD |
State: | NC |
Postal Code: | 283768452 |
Phone Number: | 9106953725 |
Fax Number: | 9106953981 |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |