Graduated: 2007
NPI: 1023294261
Practice Locations (3)
3616 CAPE CTR DR
FAYETTEVILLE, NC 283044456
9109008294
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW
WILSON, NC 278938620
2522436818
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
Source: CMS National Downloadable File, September 2026.