Organization
JOHN CAPRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SAMUL CAPRELL MA, LPCA, LCASA (COUNSELOR)
(828) 738-6741
Entity
Organization
Contact information
Practice address
932 OLD US 70 W, BLACK MOUNTAIN, NC 28711-2547
(828) 768-6741
Mailing address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(828) 768-6741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2858-A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2858-A
LCAS LICENSE NUMBER
NC
Enumeration date
12/03/2013
Last updated
12/03/2013
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