Doctor Name: | BRITTANY DIAL |
NPI Number: | 1114335361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 20442 |
Business Practice Address: | 112 E Elwood Ave Raeford, NC - 283762921 |
Business Phone Number: | 9108481924 |
Business Fax Number: | |
Mailing Address: | 112 E Elwood Ave, RAEFORD |
State: | NC |
Postal Code: | 283762921 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 20442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |