Individual
NELLIE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CSAC
Contact information
Practice address
1519 PATSY ALBRITTON ST, ROANOKE RAPIDS, NC 27870-4909
(252) 365-1803
Mailing address
PO BOX 1342, ROANOKE RAPIDS, NC 27870-1342
(252) 365-0182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1579
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
3126
VA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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