Individual
LESLIE P LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
109 CAMBRIDGE PL, SMITHFIELD, NC 27577-4717
(919) 989-8114
(919) 938-0503
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052
N C SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
02/27/2012
Last updated
02/27/2012
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