Individual
MR. LATIMER BRECK ALEXANDER V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-A, LCAS-A
Contact information
Practice address
5140 DUNSTAN RD, GREENSBORO, NC 27405-9565
(336) 621-3381
Mailing address
5140 DUNSTAN RD, GREENSBORO, NC 27405-9565
(336) 621-3381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21985
NC
1041C0700X
Clinical Social Worker
P015590
NC
1041C0700X
Clinical Social Worker
PO10755
NC
Other
Enumeration date
05/18/2016
Last updated
04/18/2023
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