Individual
TOMMY LAMAR JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCASA
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(980) 242-2744
Mailing address
706 SHARVIEW CIR, APT. 1332, CHARLOTTE, NC 28217-6630
(803) 979-2821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21119
NC
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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