Individual
MRS. JOANNE LORRAINE CODDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ARSENAL AVE, FAYETTEVILLE, NC 28305-5398
(910) 495-6186
Mailing address
4140 RAMSEY ST STE 108, FAYETTEVILLE, NC 28311-7658
(910) 580-9346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21904
NC
101YP2500X
Professional Counselor
Primary
A10816
NC
Other
Enumeration date
06/09/2014
Last updated
12/03/2020
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