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Individual
KURTIS DALE JAMES
Active
Individual
KURTIS DALE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27351
NC
1041C0700X
Clinical Social Worker
Primary
C017140
NC
Other
Enumeration date
08/19/2021
Last updated
02/17/2026
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