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Mrs. Lateasha Mcmullen
Addiction (Substance Use Disorder) Counselor in Statesville, North Carolina
NPI 1306329024

Lateasha Mcmullen is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Lateasha Mcmullen practices in Statesville, NC. The NPI Number for Lateasha Mcmullen is 1306329024 and holds a License No. (North Carolina).

The current practice location address for Lateasha Mcmullen is 636 Signal Hill Drive Ext, Statesville, NC and can be reached out via phone at 704-978-1140.

Location: 636 Signal Hill Drive Ext, Statesville, NC, 28217-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306329024
Provider Name
Lateasha Mcmullen
Credential
Provider Entity Type
Individual
Gender
Female
Address
636 Signal Hill Drive Ext, Statesville, NC, 28217-1309
Phone Number
704-978-1140
Fax Number
Provider Enumeration Date
09/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Signal Hill Drive Ext
City
Statesville
State
North Carolina
Zip
28625
Phone Number
704-978-1140
Fax Number
person
Provider Business Mailing Address Details
Address
636 Signal Hill Drive Ext
City
Statesville
State
North Carolina
Zip
28625
Phone Number
704-978-1140
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(North Carolina)
Definition
Definition to come...
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