Individual
MRS. CORNELIA ELIZABETH LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1219 ROCKINGHAM RD STE 10, ROCKINGHAM, NC 28379-4925
(910) 337-4926
(910) 997-4927
Mailing address
1219 ROCKINGHAM RD STE 10, ROCKINGHAM, NC 28379-4925
(910) 337-4926
(910) 997-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3018-A
NC
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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