Provider Demographics
NPI:1437659695
Name:NEWMAN, RENE (CSAC-I)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CSAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 AVERSBORO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3981
Mailing Address - Country:US
Mailing Address - Phone:919-329-9400
Mailing Address - Fax:919-329-9487
Practice Address - Street 1:1418 AVERSBORO RD STE 201
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3981
Practice Address - Country:US
Practice Address - Phone:919-329-9400
Practice Address - Fax:919-329-9487
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23025101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)