Individual
ADRIANNE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCASA
Contact information
Practice address
60 N HIGHWAY 125, ROANOKE RAPIDS, NC 27870
(252) 537-6619
Mailing address
14526 WATSON SEED FARM RD., WHITAKERS, NC 27891
(252) 813-2077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A12307
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
23222
NC
101YP2500X
Professional Counselor
Primary
12307
NC
Other
Enumeration date
05/04/2016
Last updated
07/30/2018
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