Provider Demographics
NPI:1740432442
Name:ENGERER, MARY (LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ENGERER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 E SIX FORKS RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7800
Mailing Address - Country:US
Mailing Address - Phone:919-783-8080
Mailing Address - Fax:919-783-8040
Practice Address - Street 1:343 E SIX FORKS RD
Practice Address - Street 2:SUITE 330
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7800
Practice Address - Country:US
Practice Address - Phone:919-783-8080
Practice Address - Fax:919-783-8040
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7084101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional