Graduated: 1999
NPI: 1609895580
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
1109 MEMORIAL DR E
AHOSKIE, NC 279103919
2523326760
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
305 BEECHWOOD BLVD
MURFREESBORO, NC 278551134
2523983323
Source: CMS National Downloadable File, September 2026.