Individual
LAUREN PRIMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS - A
Contact information
Practice address
8645 BOYSENBERRY LN, RALEIGH, NC 27616
(561) 289-7706
Mailing address
8645 BOYSENBERRY LN, RALEIGH, NC 27616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3415-A
NC
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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