Individual
BENNY LOCKLEAR JR.
Active
Individual
BENNY LOCKLEAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
P018517
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467162065
—
NC
Enumeration date
12/05/2022
Last updated
07/01/2024
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