Individual
MR. ERIC JAMES SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
4611 TWIN SPIRES DR, KNIGHTDALE, NC 27545-7456
(919) 525-7827
Mailing address
4611 TWIN SPIRES DR, KNIGHTDALE, NC 27545-7456
(919) 525-7827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2980
NC
Other
Enumeration date
07/25/2013
Last updated
06/29/2017
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