Individual provider · Type 1 NPI

Callie Jean Bodenhamer, LCAS-A

Addiction (Substance Use Disorder) Counselor · Asheboro, NC

NPI number 1912630211 Active

Practice location

110 W Walker Ave
Asheboro, NC 27203-6760

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X27155 (NC)

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

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About NPI 1912630211

Callie Jean Bodenhamer, LCAS-A's National Provider Identifier is 1912630211, issued on Jul 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Asheboro, NC. The record was last updated on Nov 27, 2022.