Individual
DONNA LUCILLE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS-A
Contact information
Practice address
650 HIGHLAND AVE STE 100, WINSTON SALEM, NC 27101
(336) 607-8523
(336) 607-8647
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20808-A
NC
Other
Enumeration date
12/08/2010
Last updated
07/25/2018
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