Individual
MISS TANGER LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
197 BROOK MEADOW LANE, LAGRANGE, NC 28551
(252) 361-1156
Mailing address
197 BROOK MEADOW LN, LA GRANGE, NC 28551-8487
(252) 361-1156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-A-21757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCAS-A 21757
NC SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
09/11/2015
Last updated
10/12/2015
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