Individual provider · Type 1 NPI

Lateasha McMullen

Addiction (Substance Use Disorder) Counselor · Statesville, NC

NPI number 1306329024 Active

Practice location

636 Signal Hill Drive Ext
Statesville, NC 28625

Call (704) 978-1140 Map

Mailing address

515 Clanton Rd
Charlotte, NC 28217-1309

Other practice locations

  • 5107 Monroe Rd, Charlotte, NC 28205-7870 · (704) 334-3170

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1306329024

Lateasha McMullen's National Provider Identifier is 1306329024, issued on Sep 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Statesville, NC. The record was last updated on Jan 8, 2019.