Individual
MR. TERRY LAMONT SPELLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
482 WILLIAMSTON DRIVE, WINTERVILLE, NC 28590-9514
(252) 347-3950
(252) 364-2631
Mailing address
482 WILLIAMSTON DR, WINTERVILLE, NC 28590-9415
(252) 347-3950
(252) 364-2631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCAS
2619-A
NC
Enumeration date
12/05/2011
Last updated
10/23/2012
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