Individual
MICHELLE COBLE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLPC, LCASA
Contact information
Practice address
14820 MATTHEWS ST, LAUREL HILL, NC 28351-7585
(910) 217-6116
Mailing address
14820 MATTHEWS ST, LAUREL HILL, NC 28351-7585
(910) 217-6116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24416
NC
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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