MR. Wade Mixon, LCAS-A
NPI #1164993804 in Dunn, North Carolina
Provider Information
- NPI Number
- 1164993804
- Entity Type
- Individual
- Name
- MR. Wade Mixon, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Dec 6, 2018
- Last Updated
- Dec 6, 2018
Practice Location
- Address
- 1480 MAPLE GROVE CHURCH RD
- City
- Dunn
- State
- North Carolina
- ZIP Code
- 28334-7692
- Phone
- (910) 567-7155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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