Individual
LAUREN IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
7401 CARMEL EXECUTIVE PARK DR STE 210, CHARLOTTE, NC 28226-0406
(615) 584-4504
Mailing address
7401 CARMEL EXECUTIVE PARK DR STE 210, CHARLOTTE, NC 28226-0406
(704) 752-8414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29069
NC
Other
Enumeration date
05/11/2023
Last updated
11/09/2023
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