Individual
MS. MAMIE YVONNE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3310 CROASDAILE DR STE 301, DURHAM, NC 27705-6806
(919) 886-7327
Mailing address
PO BOX 72851, DURHAM, NC 27722-2851
(919) 519-3846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6541
NC
Other
Enumeration date
06/22/2007
Last updated
11/03/2021
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