Individual
IDA ELIZABETH MCNIEL-ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LCSW
Contact information
Practice address
360 BEECH STREET, NEWLAND, NC 28657-0040
(828) 733-5889
Mailing address
360 BEECH STREET, NEWLAND, NC 28657-0040
(828) 733-5889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1312
NC
1041C0700X
Clinical Social Worker
C006853
NC
Other
Enumeration date
01/16/2009
Last updated
01/07/2011
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