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Individual

MR. MICHAEL J FRIEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D CSAC ICADC

Contact information

Practice address
118 CHANEY AVE, JACKSONVILLE, NC 28540-4805
(910) 581-5210
Mailing address
603 CLOVER DR, JACKSONVILLE, NC 28546-1604
(910) 581-5210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
799
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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