Provider Demographics
NPI:1851520571
Name:NEWTON, BERNARD JAMES JR (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:JAMES
Last Name:NEWTON
Suffix:JR
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2435 LYNN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6756
Mailing Address - Country:US
Mailing Address - Phone:919-408-3212
Mailing Address - Fax:919-845-4714
Practice Address - Street 1:2435 LYNN RD STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6756
Practice Address - Country:US
Practice Address - Phone:919-408-3212
Practice Address - Fax:919-845-4714
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional