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Individual

ERIC CHAIKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3200 NORTHLINE AVE, SUITE 142, GREENSBORO, NC 27408-7616
(336) 854-2560
(336) 854-2564
Mailing address
PO BOX 6331, CONCORD, NC 28027-1523
(704) 784-0753
(704) 720-0670

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20631
NC
101YP2500X
Professional Counselor
Primary
9329
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043551161
NC
Enumeration date
03/14/2013
Last updated
07/21/2022
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