Individual
ADRIANA LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
418 PERSON ST STE 103, FAYETTEVILLE, NC 28301-5886
(910) 483-0958
Mailing address
6936 WADSWORTH PL, FAYETTEVILLE, NC 28314-1172
(910) 723-7748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26560
NC
1041C0700X
Clinical Social Worker
Primary
C015556
NC
Other
Enumeration date
09/09/2020
Last updated
04/07/2023
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