Individual
SUMRA SAFDAR ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-ASSOCIATE
Contact information
Practice address
4104 LAUREL RIDGE DR, GREENVILLE, NC 27834-9208
(216) 857-8496
Mailing address
104 ZEBULON CT, ROCKY MOUNT, NC 27804-2420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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