Individual
MRS. JOANN KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
504 E ELIZABETH ST, ELIZABETH CITY, NC 27909-4404
(252) 619-0319
Mailing address
504 E ELIZABETH ST, ELIZABETH CITY, NC 27909-4404
(252) 619-0319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
122
NC
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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