Individual
EDWARD GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
2840 GRESHAM GROVE LN APT 102, RALEIGH, NC 27615-8065
(704) 400-2010
Mailing address
2840 GRESHAM GROVE LN APT 102, RALEIGH, NC 27615-8065
(704) 400-2010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2769-A
NC
Other
Enumeration date
01/23/2013
Last updated
04/10/2018
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