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MR. ROBERT JAN HEDGEPATH LCSW LCAS CCS NPI 1104033406


NPI Information

NPI: 1104033406
Provider Name: MR. ROBERT JAN HEDGEPATH, LCSW, LCAS, CCS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4010 BARRETT DR
SUITE 101
RALEIGH, NC
ZIP 27609
Phone: (919) 788-8002
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MR. Robert Jan Hedgepath, LCSW, LCAS, CCS is an addiction (substance use disorder) counselor in Raleigh, NC. MR. Robert Jan Hedgepath, LCSW, LCAS, CCS NPI is 1104033406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4010 BARRETT DR
SUITE 101
RALEIGH, NC
ZIP 27609-622
Phone: (919) 788-8002
Fax: (919) 788-0740

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)098NORTH CAROLINAYes
21041C0700XSocial WorkerClinical1801NORTH CAROLINAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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