Individual
JOSIAH LAVIKA DEBNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
Mailing address
6849 LAKINSVILLE LN, RALEIGH, NC 27610-6910
(919) 791-8202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
09/03/2021
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