Individual
MS. MELANIE C. LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2003 GODWIN AVE, SUITE B, LUMBERTON, NC 28358-3149
(910) 671-1111
(910) 671-4454
Mailing address
1644 MOUNT OLIVE CHURCH RD, LUMBERTON, NC 28360-8248
(910) 739-0551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3785
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
3785
NC
101YM0800X
Mental Health Counselor
3785
NC
101YP2500X
Professional Counselor
Primary
3785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102127
—
NC
Enumeration date
11/27/2007
Last updated
09/12/2012
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