Individual
MARINIC EATMON FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS-A, NCC
Contact information
Practice address
425 HIDDEN SPRINGS DR, DURHAM, NC 27703-4924
(919) 697-1078
Mailing address
425 HIDDEN SPRINGS DR, DURHAM, NC 27703-4924
(919) 697-1078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2461-A
NC
101YP2500X
Professional Counselor
Primary
8290
NC
Other
Enumeration date
06/25/2012
Last updated
12/13/2012
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