Individual
ALYCIA LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S CHURCH ST STE A, ASHEBORO, NC 27203-5678
(336) 628-0109
Mailing address
525 S CHURCH ST STE A, ASHEBORO, NC 27203-5678
(336) 628-0109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20246
NC
106S00000X
Behavior Technician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A20246
LCMHC ASSOCIATE
NC
Enumeration date
07/05/2022
Last updated
08/14/2024
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