Individual
BENNY LOCKLEAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
432 E LONG AVE STE 2, GASTONIA, NC 28054-2540
(980) 416-3025
(980) 448-3419
Mailing address
432 E LONG AVE STE 2, GASTONIA, NC 28054-2540
(980) 416-3023
(980) 448-3419
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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