Individual
JUSTIN WOAZEAH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 MIGHTY JOE TRL, YORK, SC 29745-2667
(980) 333-5551
Mailing address
113 S COLLEGE ST, MONROE, NC 28112-5427
(980) 333-5551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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