| Doctor Name: | NEGAT NEGUSSIE-RETTA |
| NPI Number: | 1467848119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRC, LPCA |
| License Number: | A11273 |
| Business Practice Address: | 106 W Church St Suite H Creedmoor, NC - 275229766 |
| Business Phone Number: | 9198854046 |
| Business Fax Number: | 9194771848 |
| Mailing Address: | Po Box 73081, DURHAM |
| State: | NC |
| Postal Code: | 277223081 |
| Phone Number: | 9198854046 |
| Fax Number: | 9194771848 |
| NPI Enumeration Date: | 04/09/2015 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A11273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |