Sidney Miller Deramus, LCAS-A
Counselor, Addiction (Substance Use Disorder) in Hickory, NC. Individual provider (NPI-1).
Details
- NPI
- 1619664232
- Entity type
- Individual (NPI-1)
- Name
- Sidney Miller Deramus
- Credential
- LCAS-A
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-28751 | NC | Yes |
Practice location
929 15th St Ne Ste 100Hickory, NC 28601-4162
Phone 828-327-6026 · Fax 828-327-8796
Mailing address
4330 Viola Sipe DrConover, NC 28613-8839
Phone 828-256-3436 · Fax 828-327-8796
Other practice locations
Conover, NC 28613-8839
Phone 828-256-3436 · Fax 828-327-8796
Hickory, NC 28601-4162
Phone 828-327-6026 · Fax 828-327-8796
Hickory, NC 28601-4162
Phone 828-327-6026 · Fax 828-327-8796
Hickory, NC 28601-4162
Phone 828-327-6026 · Fax 828-327-8796
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All 50 Addiction (Substance Use Disorder) Counselor providers in Hickory · All 2,981 providers in Hickory
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