Provider Demographics
NPI:1326354960
Name:PEARSON, MARY E (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:E
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3820 BRIDGES ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2978
Mailing Address - Country:US
Mailing Address - Phone:252-726-0707
Mailing Address - Fax:252-727-4977
Practice Address - Street 1:3820 BRIDGES ST
Practice Address - Street 2:SUITE B
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2978
Practice Address - Country:US
Practice Address - Phone:252-726-0707
Practice Address - Fax:252-727-4977
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC523101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor