Individual
MS. SUSAN V. BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, LCAS
Contact information
Practice address
705 S MANGUM ST, DURHAM, NC 27701-3904
(919) 683-1607
Mailing address
705 S MANGUM ST, DURHAM, NC 27701-3904
(919) 683-1607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2054
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
64
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112351
—
NC
Enumeration date
02/26/2008
Last updated
03/19/2013
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