Individual
NELLIE HUMPHREYS-LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
Mailing address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
(910) 864-8222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24940
NC
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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