Individual
LISA R CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 EXECUTIVE CIR STE E, CARY, NC 27511-4586
(919) 371-6922
Mailing address
104 KRONOS LN, CARY, NC 27513-5339
(336) 978-5498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3483
NC
101YP2500X
Professional Counselor
Primary
10739
NC
Other
Enumeration date
11/05/2013
Last updated
02/03/2019
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