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Individual

MICHAEL RACINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS, CSI

Contact information

Practice address
119 TUNNEL ROAD , SUITE D, ASHEVILLE, NC 28805
(828) 707-7445
Mailing address
15 FOXWOOD DR, ASHEVILLE, NC 28804-8763
(850) 450-4090

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3095
NC

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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