Individual
JALEESA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCASA
Contact information
Practice address
1306 PADDOCK DR, SUITE E-100, RALEIGH, NC 27609-4873
(919) 790-2446
(919) 790-9755
Mailing address
1306 PADDOCK DR, SUITE E-100, RALEIGH, NC 27609-4873
(919) 790-2446
(919) 790-9755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21352
NC
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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