Individual
SIERRA SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS-A
Contact information
Practice address
129 MAYO ST, HILLSBOROUGH, NC 27278-2573
(919) 643-1739
(919) 643-0902
Mailing address
2510 MAHALA DR, DURHAM, NC 27704-3455
(919) 949-8003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24265
NC
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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