Most Relevant Information
Provider Data
| NPI Number: | 1003003039 |
| Provider Name: | MARY MUTHONI BARINE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6689 |
Most Important Dates
| Enumeration Date: | 10/03/2007 |
| Last Updated: | 05/27/2008 |
Provider Practice Location
916 WINDEMERE LN
WAKE FOREST
NC
275879562
Practice Location Phone/Fax
| Phone: | 9195627713 |
| Fax: |
Provider Mailing Location
916 WINDEMERE LN
WAKE FOREST
NC
275879562
Provider Mailing Phone/Fax
| Phone: | 9195627713 |
| Fax: |