Individual provider · Type 1 NPI
Alexei B. Kampov Polevei, LCAS
Addiction (Substance Use Disorder) Counselor · Chapel Hill, NC
NPI number
1164501516
Active
Practice location
101 Manning Dr
Chapel Hill, NC 27599-0001
Fax (919) 843-5515
Mailing address
143 W Franklin St
Chapel Hill, NC 27516-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1084 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164501516
Alexei B. Kampov Polevei, LCAS's National Provider Identifier is 1164501516, issued on Nov 6, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chapel Hill, NC. The record was last updated on Jul 8, 2007.