Individual provider · NPI-1
Dwayne Mcpherson Ammons
Counselor, Professional · Fayetteville, NC
NPI number1184070138
StatusActive
Last updated in NPPESMay 9, 2016
Details
- NPI
- 1184070138
- Entity type
- Individual (NPI-1)
- Name
- Dwayne Mcpherson Ammons
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2016
- Last updated
- May 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
5599 Robmont DrFayetteville, NC 28306-2665
Phone 910-527-8800
Mailing address
5599 Robmont DrFayetteville, NC 28306-2665
Phone 910-527-8800
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