Individual
DANIEL CORNELIUS CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
505 SUNSET AVE, ROCKY MOUNT, NC 27804-5616
(252) 212-5844
Mailing address
PO BOX 225, WENDELL, NC 27591-0225
(919) 906-2461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24310
NC
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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