Individual
MR. JOEY DOUGLAS LOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
325 N MARIETTA ST, GASTONIA, NC 28052-2331
(704) 862-6663
(704) 869-7336
Mailing address
PO BOX 370, GASTONIA, NC 28053-0370
(704) 862-6663
(704) 869-7336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1030
NC
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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