Individual provider · Type 1 NPI

Leon Jackson Pernell Sr., LCAS

Addiction (Substance Use Disorder) Counselor · Henderson, NC

NPI number 1821249541 Active

Practice location

804 S Garnett St
Henderson, NC 27536-4571

Fax (252) 430-8821

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X56 (NC)

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

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About NPI 1821249541

Leon Jackson Pernell Sr., LCAS's National Provider Identifier is 1821249541, issued on Oct 1, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Henderson, NC. The record was last updated on Oct 1, 2008.