Individual provider · Type 1 NPI

Iman Khalil Mustafa, LCASA

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1780371872 Active

Practice location

2101 Garner Rd
Raleigh, NC 27610-0114

Call (919) 787-6131 Map

Fax (919) 571-2932

Mailing address

3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-30180 (NC)

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

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About NPI 1780371872

Iman Khalil Mustafa, LCASA's National Provider Identifier is 1780371872, issued on Apr 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on Aug 2, 2024.