Individual
MRS. SUZANNE LANE NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, CCS
Contact information
Practice address
900 LAROQUE AVE, KINSTON, NC 28501-3520
(252) 527-9083
Mailing address
900 LAROQUE AVE, KINSTON, NC 28501-3520
(252) 527-9083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110537
—
NC
Enumeration date
01/18/2007
Last updated
07/09/2007
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