Individual
MS. EBONE' JANE'T ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
805 N FRANKLIN ST, WHITEVILLE, NC 28472-2735
(910) 642-9008
Mailing address
805 N FRANKLIN ST, WHITEVILLE, NC 28472-2735
(910) 642-9008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21190
NC
Other
Enumeration date
01/10/2019
Last updated
02/17/2023
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