Individual
MS. HEATHER LAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1109 2ND AVE SW, HICKORY, NC 28602-2545
(828) 327-6026
(828) 327-8796
Mailing address
1109 2ND AVE SW, HICKORY, NC 28602-2545
(828) 327-6026
(828) 327-8796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21294
NCSAPPB LICENSURE FOR LCAS
NC
Enumeration date
01/07/2015
Last updated
01/07/2015
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