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1033951074
SAMUEL GARETH COLLIS
RALEIGH, NC
NPI
1033951074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A20111)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
SAMUEL GARETH COLLIS LCMHCA
3021 BERKS WAY STE 101
RALEIGH, NC 27614-6775
Phone number: 919-554-4027
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Mailing Address
SAMUEL GARETH COLLIS LCMHCA
308 FRIENDSHIP CHAPEL RD
WAKE FOREST, NC 27587-7388
Phone number:
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