Poole, Dante

Poole, Dante is an individual health care provider with primary practice located at 241 Grant St , West End NC 27376. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Poole, Dante can be contacted via phone (910) 673-3535.

Contact Information

Primary practice address
241 Grant St West End NC 27376
Phone: (910) 673-3535
Fax: (910) 673-6565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5439 North Carolina

Profile Details

NPI number 1760502579
LBN Legal business name Poole, Dante
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760502579 NPPES
North Carolina MEDICAID 6103318

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