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Organization
IV SEASONS CONSULTING
Active
Organization
IV SEASONS CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LAVERNE KING LCASA (OWNER)
(919) 669-0004
Entity
Organization
Contact information
Practice address
815 N ARENDELL AVE STE 2E, ZEBULON, NC 27597-2305
(919) 375-4866
Mailing address
PO BOX 14449, RALEIGH, NC 27620-4449
(919) 669-0004
(919) 375-4866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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