Individual provider · Type 1 NPI

Larry Lamont Joe Jr.

Addiction (Substance Use Disorder) Counselor · Winston Salem, NC

NPI number 1497216667 Active

Practice location

1348 Westgate Center Dr Ste 204
Winston Salem, NC 27103-2984

Mailing address

307 Weaver Dr
Lexington, NC 27292-4745

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA19198 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1497216667

Larry Lamont Joe Jr.'s National Provider Identifier is 1497216667, issued on Mar 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 23, 2024.