Individual
NIKKI LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 THREE HUNTS DR., PEMBROKE, NC 28372
(910) 522-0408
Mailing address
PO BOX 351, PEMBROKE, NC 28372-0351
(910) 734-8685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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