Individual
ELISE DAMILATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
1076 BEAR CREEK RD, LEICESTER, NC 28748-6312
(631) 682-8883
Mailing address
1076 BEAR CREEK RD, LEICESTER, NC 28748-6312
(631) 682-8883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29963
NC
104100000X
Social Worker
Primary
P021077
NC
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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