Individual
MS. MIRANDA SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Contact information
Practice address
4006 OLEANDER DR STE 204, WILMINGTON, NC 28403-6808
(910) 367-5089
(910) 756-4424
Mailing address
205 ADELE CT, WILMINGTON, NC 28412-3166
(910) 616-3316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10746
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20590
NC
Other
Enumeration date
08/03/2015
Last updated
01/06/2025
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