Provider Demographics
NPI:1477604007
Name:OSBURN, MONICA ZOZONE (PHD, LPC, NCC, ACS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ZOZONE
Last Name:OSBURN
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-9189
Mailing Address - Country:US
Mailing Address - Phone:910-738-1112
Mailing Address - Fax:
Practice Address - Street 1:441 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-9189
Practice Address - Country:US
Practice Address - Phone:910-738-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4206101YP2500X
NJ37PC00250200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102145Medicaid
NC018J8OtherBLUE CROSS BLUE SHIELD