Individual
LISA ANNE WICH-LAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
1522 HARBOUR DR, WILMINGTON, NC 28401-7714
(910) 688-3575
(910) 401-1769
Mailing address
6109 NORTHSHORE DR, WILMINGTON, NC 28411-7234
(910) 431-9455
(910) 401-1769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22897
NC
101YP2500X
Professional Counselor
Primary
12528
NC
Other
Enumeration date
08/20/2016
Last updated
02/04/2019
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