Individual
LAKIA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 E FRONT ST, CLAYTON, NC 27527-5492
(919) 423-9034
Mailing address
149 BALSAM FIR PL, CLAYTON, NC 27520-3065
(919) 423-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A11670
NC
101YP2500X
Professional Counselor
Primary
11670
NC
101YP2500X
Professional Counselor
A11670
NC
Other
Enumeration date
06/15/2015
Last updated
03/17/2018
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