Individual
JOSEPH SPAULDING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 WAIT AVE, WAKE FOREST, NC 27587-2729
(919) 741-9147
Mailing address
641 WAIT AVE, WAKE FOREST, NC 27587-2729
(919) 741-9147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3073-A
NC
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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