Individual
SIERRA LA TYCE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LCAS-A
Contact information
Practice address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
(919) 900-7576
Mailing address
4913 ARBOR CHASE DR, RALEIGH, NC 27616-6567
(336) 830-7607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24612
NC
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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