Individual provider · Type 1 NPI
Jessica Lynn Kawamoto, LCASA
Addiction (Substance Use Disorder) Counselor · Wilmington, NC
NPI number
1225516339
Active
Practice location
925 S Kerr Ave Ste B
Wilmington, NC 28403-4354
Mailing address
213 Marsh Hen Dr
Wilmington, NC 28409-3519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 24237 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225516339
Jessica Lynn Kawamoto, LCASA's National Provider Identifier is 1225516339, issued on Jul 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, NC. The record was last updated on Jul 31, 2018.