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Individual
PERRY MENDEL LAVIN
Active
Individual
PERRY MENDEL LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC LCASA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A15125
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26602
NC
101YM0800X
Mental Health Counselor
Primary
15125
NC
101YM0800X
Mental Health Counselor
A15125
NC
Other
Enumeration date
10/07/2019
Last updated
11/29/2022
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