Individual
MS. BRITTANY NICOLE LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSWA LCASA
Contact information
Practice address
86 THREE HUNTS DRIVE, PEMBROKE, NC 28372
(910) 522-0408
(910) 522-0465
Mailing address
201 BLAINE STREET, PEMBROKE, NC 28372
(910) 827-4705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24760
NC
1041C0700X
Clinical Social Worker
P011710
NC
1041C0700X
Clinical Social Worker
Primary
P015945
NC
Other
Enumeration date
09/27/2017
Last updated
01/20/2022
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