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Individual

MARK STURGIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS

Contact information

Practice address
1933 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1126
(704) 762-9219
Mailing address
13032 GRAYMIST DR, CHARLOTTE, NC 28215-6030
(704) 791-0611

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24845
NC
101YM0800X
Mental Health Counselor
A18695
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154545663
NC
Enumeration date
05/21/2019
Last updated
11/02/2023
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