Individual provider · Type 1 NPI
Jack Paul Meza Leon
Addiction (Substance Use Disorder) Counselor · Raleigh, NC
NPI number
1801402847
Active
Practice location
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Fax (866) 500-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-25285 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801402847
Jack Paul Meza Leon's National Provider Identifier is 1801402847, issued on Sep 16, 2020. 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 Oct 25, 2021.