Individual
TYRONE ELIJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Mailing address
505 CHELTENHAM DR, GREENVILLE, NC 27834-2534
(252) 917-3720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24366
NC
Other
Enumeration date
10/13/2014
Last updated
12/18/2019
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