Individual
PEARLE LAVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
530 ROSENWALD ST, BURLINGTON, NC 27217-2468
(336) 350-8169
Mailing address
2909 ARMFIELD AVE, BURLINGTON, NC 27215-4603
(336) 350-8169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1006
NC
Other
Enumeration date
09/22/2013
Last updated
09/23/2013
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