Individual
NATHAN DURANT BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
402 N PINE ST, SUITE C, LUMBERTON, NC 28358-5563
(910) 739-1666
(910) 739-6822
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1844
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
09/02/2011
Last updated
09/02/2011
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