Individual
MRS. JOETTE BUCCA INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1329 ROBESON ST, FAYETTEVILLE, NC 28305-5531
(910) 438-0039
(910) 438-0942
Mailing address
3036 PINEY MOUNTAIN DR, HOPE MILLS, NC 28348-5710
(910) 978-4313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2105
NC
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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