Individual
DIERA SHAMESE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 NATIONAL HWY, THOMASVILLE, NC 27360-2317
(336) 472-8230
Mailing address
1301 NATIONAL HWY, THOMASVILLE, NC 27360-2317
(336) 472-8230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
06/23/2021
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