Individual
LASHANA W POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
4004 BEN FRANKLIN BLVD, DURHAM, NC 27704-2384
(919) 471-5474
(919) 471-5475
Mailing address
113 MIX TRAIL LN, RAEFORD, NC 28376-5958
(910) 366-4325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2709
NC
101YP2500X
Professional Counselor
Primary
8961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528345857
—
NC
Enumeration date
11/15/2011
Last updated
07/21/2022
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