Individual provider · Type 1 NPI

William Ashley Mizelle Jr., LCAS, LCMHC, CCS

Addiction (Substance Use Disorder) Counselor · Greenville, NC

NPI number 1154497220 Active

Practice location

2602 Courtier Dr
Greenville, NC 27834-7818

Fax (252) 757-3172

Mailing address

1492 Tull Rd
Greenville, NC 27858-8366

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X6860 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X10014 (NC)
Mental Health Counselor 101YM0800X6860 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1061 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154497220

William Ashley Mizelle Jr., LCAS, LCMHC, CCS's National Provider Identifier is 1154497220, issued on Nov 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, NC. The record was last updated on Oct 23, 2023.