Easter Seals Ucp
Counselor, Addiction (Substance Use Disorder) in Rocky Mount, NC. Organization (NPI-2).
NPI number1457745697
StatusActive
Last updated in NPPESMar 25, 2015
Details
- NPI
- 1457745697
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals Ucp
- Organization subpart
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Mar 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-A | NC | Yes |
Practice location
4038 Capital DrRocky Mount, NC 27804-3123
Phone 252-467-2860
Mailing address
4038 Capital DrRocky Mount, NC 27804-3123
Phone 252-467-2860
Authorized official
Andrea Denise Lane
Substance Abuse
9192748356
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All 28 Addiction (Substance Use Disorder) Counselor providers in Rocky Mount · All 1,760 providers in Rocky Mount
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