Individual
MISS AKOSUA JESSICA LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS- A
Contact information
Practice address
5801 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212-8861
(704) 567-0790
(704) 567-8735
Mailing address
5682 KIMMERLY WOODS DR, CHARLOTTE, NC 28215-4244
(704) 567-0790
(704) 567-8735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21423
NC
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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