Individual
MARECIUS D SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS
Contact information
Practice address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(919) 559-5568
(919) 371-5599
Mailing address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(919) 559-5568
(919) 371-5599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22144
NC
101YM0800X
Mental Health Counselor
11862
NC
Other
Enumeration date
09/04/2015
Last updated
12/18/2019
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