Individual
MR. JIMMY BELLAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
4231 PRINCESS PLACE DR, WILMINGTON, NC 28405-3589
(910) 264-5045
Mailing address
PO BOX 12221, DURHAM, NC 27709-2221
(910) 264-5045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NCSAPPB817
NC
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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