Individual
MRS. BRENDA MOORE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
402 N PINE ST, SUITE D, LUMBERTON, NC 28358-5584
(910) 738-2110
(910) 738-2988
Mailing address
PO BOX 2590, PEMBROKE, NC 28372-2590
(910) 521-2900
(910) 272-1650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1422
NC
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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