person
Mr. Wade Mixon, LCAS-A
Addiction (Substance Use Disorder) Counselor in Dunn, North Carolina
NPI 1164993804

Wade Mixon is an Addiction (Substance Use Disorder) Counselor based in Dunn, NC and is specialized in Addiction (Substance Use Disorder). Wade Mixon practices in Dunn, NC and has the professional credentials of LCAS-A. The NPI Number for Wade Mixon is 1164993804 and holds a License No. 23170 (North Carolina).

The current practice location address for Wade Mixon is 1480 Maple Grove Church Rd, Dunn, NC and can be reached out via phone at 910-567-7155.

Location: 1480 Maple Grove Church Rd, Dunn, NC, 28334-7988
person
Provider Profile Details
NPI Number
1164993804
Provider Name
Wade Mixon
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
1480 Maple Grove Church Rd, Dunn, NC, 28334-7988
Phone Number
910-567-7155
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427087709 05 NC
01 01 NC N/A
institution
Provider Business Practice Location Address Details
Address
1480 Maple Grove Church Rd
City
State
Zip
28334-7692
Phone Number
910-567-7155
Fax Number
person
Provider Business Mailing Address Details
Address
1480 Maple Grove Church Rd
City
State
Zip
28334-7692
Phone Number
910-567-7155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23170 (North Carolina)
Definition
Definition to come...
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