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Individual

JOEL NETTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
596 E JACKSON BLVD STE E, ERWIN, NC 28339-9629
(910) 897-2008
Mailing address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23513
NC
1041C0700X
Clinical Social Worker
P010650
NC

Other

Enumeration date
09/01/2016
Last updated
12/30/2019
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