Individual
ANNETTE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
86 THREE HUNTS DRIVE, PEMBROKE, NC 28372
(910) 522-0408
Mailing address
10418 SHANNON RD, PO BOX 551, SHANNON, NC 28386-9020
(910) 843-2803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10420
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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