Individual
MS. LEKISHA CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 QUITMAN TRL, RALEIGH, NC 27610-1171
(919) 720-7213
Mailing address
6311 QUITMAN TRL, RALEIGH, NC 27610-1171
(919) 720-7213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-2549
NC
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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