Individual provider · Type 1 NPI

Lilly Marie Shorter, LCAS 21705

Addiction (Substance Use Disorder) Counselor · Pembroke, NC

NPI number 1154715027 Active

Practice location

86 Three Hunt Drive
Pembroke, NC 28372

Call (910) 522-0408 Map

Mailing address

116 Granger Rd
Raeford, NC 28376-8060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS 21705 (NC)

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

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About NPI 1154715027

Lilly Marie Shorter, LCAS 21705's National Provider Identifier is 1154715027, issued on Mar 27, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pembroke, NC. The record was last updated on May 23, 2018.