Individual
ALESIA RENEE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
3581 LACKEY ST, LUMBERTON, NC 28360
(910) 738-5023
(910) 738-1451
Mailing address
3581 LACKEY ST, LUMBERTON, NC 28360-9048
(910) 738-5023
(910) 738-1451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13835
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063903391
—
NC
Enumeration date
05/22/2018
Last updated
05/29/2018
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