Individual
LAKEISHA N WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A, NCC
Contact information
Practice address
206 N DILLARD ST, DURHAM, NC 27701-3404
(919) 403-9425
Mailing address
617 WEATHERVANE WAY, ROCKY MOUNT, NC 27803-8736
(252) 314-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A14735
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
A14735
NC
101YM0800X
Mental Health Counselor
A14735
NC
101YP2500X
Professional Counselor
Primary
A14735
NC
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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