Derek Mark Gough
NPI #1528103546 in Pittsboro, North Carolina
Provider Information
- NPI Number
- 1528103546
- Entity Type
- Individual
- Name
- Derek Mark Gough
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Jun 25, 2009
Practice Location
- Address
- 224 EAST ST
- Address 2
- SUITE A
- City
- Pittsboro
- State
- North Carolina
- ZIP Code
- 27312-9750
- Phone
- (919) 542-0747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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