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Individual

MS. PAMELA BANNERMAN-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LCAS

Contact information

Practice address
319 N SYCAMORE ST, ROSE HILL, NC 28458
(910) 284-1486
Mailing address
132 NELSON ST, PO BX 312, ROSE HILL, NC 28458
(910) 284-1486

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC-16554
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22520
NC

Other

Enumeration date
11/19/2015
Last updated
05/24/2024
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