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Individual

JAMES ADAM LASSITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCS, CSAC

Contact information

Practice address
602 S SUMNER ST, SELMA, NC 27576-2947
(919) 965-5548
Mailing address
602 S SUMNER ST, SELMA, NC 27576-2947
(919) 965-5548

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1404
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
349
NC

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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