Individual
MR. PETER CHARLES SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-P
Contact information
Practice address
355 S MADISON BLVD, SUITE C1, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 322-6168
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
(919) 942-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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