Individual
MS. DANA LO DON ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS-A
Contact information
Practice address
201 NEW BRIDGE ST STE 105, JACKSONVILLE, NC 28540-4736
(252) 268-5105
Mailing address
4132 HWY 123 N, SNOW HILL, NC 28580-7558
(252) 268-5105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28368
NC
101YM0800X
Mental Health Counselor
P017852
NC
Other
Enumeration date
01/09/2023
Last updated
11/23/2024
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