Individual
MERIOTH WANYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2912 ALDER RIDGE LN, RALEIGH, NC 27603-6020
(919) 720-4866
(919) 720-4866
Mailing address
2912 ALDER RIDGE LN, RALEIGH, NC 27603-6020
(919) 720-4866
(919) 720-4866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2593
NC
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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