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MR. KURT ELVIN SPRINGER MSW, LCSW, QP, SAC

Addiction Substance Use Disorder

Fayetteville, North Carolina

Provider NPI: 1669432787

Provider Information:
MR. KURT ELVIN SPRINGER MSW, LCSW, QP, SAC
Gender: M


Practice Location:
2944 BREEZEWOOD AVE  FAYETTEVILLE, NC 28303 US
Tel: 910-609-1717  Fax: --

Business Mailing Address:
7039 ROCKRIDGE LN  FAYETTEVILLE, NC 28306 US
Tel: 910-425-8024  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NCC005173
X101YM0800XBehavioral Health & Social Service Providers
Counselor
NCC005173

Other Provider Identifiers:

IssuerNumberStateType
NC SWCLB LCSW NUMBERC005173NC01
6106264NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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