Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | NC |
NPI | 1003568379 |
---|---|
Provider Name | Nicole Turner |
First Address | Fayetteville, NC 28311-4613 |
Second Address | Fayetteville, NC 28304-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2022 |
Last Update Date | 19/01/2022 |