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NPI Profile for CHARLES A AVERA JR in CHAPEL HILL, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1407105786 |
|
| Status | Active | |
| Credentials | MA, LPC | |
| Entity | Individual | |
| Enumeration date | 09/02/2012 | |
| Last updated | 09/13/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHARLES A AVERA JR
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CHARLES A AVERA JR, MA, LPC