Individual
MADISON VEASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, LCAS, NCC
Contact information
Practice address
5882 FARINGDON PL STE 200, RALEIGH, NC 27609-3932
(919) 473-6203
Mailing address
6708 ROSSFORD LN, DURHAM, NC 27713-6428
(919) 698-3358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24597
NC
101YP2500X
Professional Counselor
Primary
A14062
NC
Other
Enumeration date
07/03/2018
Last updated
05/21/2020
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