Individual
CECELIA A JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1800 MARTIN LUTHER KING PKWY STE 101, DURHAM, NC 27707-3500
(704) 227-0605
(704) 227-0690
Mailing address
5800 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212-8869
(336) 882-2125
(336) 882-8153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112038
—
NC
Enumeration date
06/25/2008
Last updated
07/20/2009
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