Individual
MS. LAURA K. WAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC-I, CPSS
Contact information
Practice address
423 WOODSWAY DR, LEXINGTON, NC 27292-4655
(336) 479-3716
Mailing address
423 WOODSWAY DR, LEXINGTON, NC 27292-4655
(336) 479-3716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC24262
NC
175T00000X
Peer Specialist
2018-5717-01
NC
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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