Mamie Yvonne Addison, LCMHC
Counselor, Professional in Durham, NC. Individual provider (NPI-1).
NPI number1629274915
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1629274915
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mamie Yvonne Addison
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2007
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6541 | NC | Yes |
Practice location
3310 Croasdaile Dr Ste 301Durham, NC 27705-6806
Phone 919-886-7327
Mailing address
Po Box 72851Durham, NC 27722-2851
Phone 919-519-3846
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