Individual
MICHAEL JIMMY PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
3408 WILSHIRE BLVD, SUITE 100, WILMINGTON, NC 28403-4339
(910) 251-5326
(910) 632-2355
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS21373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCAS-21373
STATE LICENSE
NC
Enumeration date
07/13/2015
Last updated
07/13/2015
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