Individual provider · Type 1 NPI
Wonda Bullock Beaver, NCC, LCAS, LPC-A
Addiction (Substance Use Disorder) Counselor · Durham, NC
NPI number
1639434152
Active
Practice location
9 Duck Pond Ct
Durham, NC 27703-6096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639434152
Wonda Bullock Beaver, NCC, LCAS, LPC-A's National Provider Identifier is 1639434152, issued on Jul 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Durham, NC. The record was last updated on Jul 10, 2012.