Individual
SARAH BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
367 BRANCHWOOD DRIVE, WINTERVILLE, NC 28590
(252) 814-0767
Mailing address
367 BRANCHWOOD DR, WINTERVILLE, NC 28590-8693
(252) 814-0767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22292
NC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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