Individual
LARRY LAMONT JOE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1348 WESTGATE CENTER DR STE 204, WINSTON SALEM, NC 27103-2984
(336) 341-5354
Mailing address
307 WEAVER DR, LEXINGTON, NC 27292-4745
(336) 575-8156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
A19198
NC
Other
Enumeration date
03/28/2019
Last updated
10/23/2024
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