Dagenhart, Mary Coburn
Dagenhart, Mary Coburn is an individual health care provider with primary practice located at 8025 N Point Blvd , Winston Salem NC 27106-3262. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dagenhart, Mary Coburn can be contacted via phone (336) 896-0065.Contact Information
Primary practice address
8025 N Point Blvd
Winston Salem NC 27106-3262
Phone: (336) 896-0065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A17870 | North Carolina |
Profile Details
| NPI number | 1821726324 |
|---|---|
| LBN Legal business name | Dagenhart, Mary Coburn |
| Credentials | MA, LCMHC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2022 |
| Last updated | Aug 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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