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Individual

MRS. RITA DIANNE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC, NCACII

Contact information

Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 822-7920
Mailing address
2222 NASH ST, SANFORD, NC 27330-9760
(919) 721-2203

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
010449
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1428
NC

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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