Individual
LAURA JEANE WRINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
719 PINEWOOD DR, JACKSONVILLE, NC 28546-7707
(717) 577-8504
Mailing address
806 BELL FORK RD, JACKSONVILLE, NC 28540-6312
(910) 347-2205
(910) 347-2216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2925
NC
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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