Individual
CAROLINE PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS
Contact information
Practice address
119 TUNNEL RD STE F, ASHEVILLE, NC 28805-1869
(828) 280-8608
(828) 774-5726
Mailing address
119 TUNNEL RD STE F, ASHEVILLE, NC 28805-1869
(828) 280-8608
(828) 774-5726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22662
NC
1041C0700X
Clinical Social Worker
Primary
P011660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740714559
—
NC
Enumeration date
04/18/2017
Last updated
01/14/2019
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