Individual
BRANDY LEIGH ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA, LCAS
Contact information
Practice address
1606 PHYSICIANS DR STE 104, WILMINGTON, NC 28401-7348
(910) 343-6890
Mailing address
602 WHITTLE CT, WILMINGTON, NC 28411-7218
(919) 491-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
4379
NC
Other
Enumeration date
11/29/2012
Last updated
04/12/2017
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