Individual
BRIA JANESE RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S MAIN ST, LEXINGTON, NC 27292-3134
(336) 300-8826
Mailing address
5450 COUNTRYSIDE DR APT A, WINSTON SALEM, NC 27105-7120
(980) 269-7414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
Primary
—
NC
101YP2500X
Professional Counselor
—
NC
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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