Individual
ERNESTINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A, LCAS-A, LGPC
Contact information
Practice address
102 N MAIN ST, 4, ROXBORO, NC 27573-5574
(336) 504-5326
Mailing address
102 N MAIN ST, 4, ROXBORO, NC 27573-5574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21879
NC
101YP2500X
Professional Counselor
A15144
NC
101YP2500X
Professional Counselor
LGP9798
MD
Other
Enumeration date
02/21/2016
Last updated
10/09/2019
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