person
Lisa Michelle Bazemore, LCAS-A
Addiction (Substance Use Disorder) Counselor in Washington, North Carolina
NPI 1144919036

Lisa Michelle Bazemore is an Addiction (Substance Use Disorder) Counselor based in Windsor, NC and is specialized in Addiction (Substance Use Disorder). Lisa Michelle Bazemore practices in Washington, NC and has the professional credentials of LCAS-A. The NPI Number for Lisa Michelle Bazemore is 1144919036 and holds a License No. LCAS-20667 (North Carolina).

The current practice location address for Lisa Michelle Bazemore is 216 Stewart Pkwy, Washington, NC and can be reached out via phone at 252-946-0585 and via fax at 252-946-0580.

Location: 216 Stewart Pkwy, Washington, NC, 27983
person
Provider Profile Details
NPI Number
1144919036
Provider Name
Lisa Michelle Bazemore
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
216 Stewart Pkwy, Washington, NC, 27983
Phone Number
252-946-0585
Fax Number
252-946-0580
Provider Enumeration Date
05/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
216 Stewart Pkwy
City
State
Zip
27889-4972
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider Business Mailing Address Details
Address
216 Stewart Pkwy
City
State
Zip
27889-4972
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-20667 (North Carolina)
Definition
Definition to come...
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