Destiny Faatima Tiera Blue, MSW, LCSW-A, LCAS-A
NPI #1265161095 in Hope Mills, North Carolina
Provider Information
- NPI Number
- 1265161095
- Entity Type
- Individual
- Name
- Destiny Faatima Tiera Blue, MSW, LCSW-A, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MSW, LCSW-A, LCAS-A
- Enumeration Date
- Jun 7, 2022
- Last Updated
- Jun 7, 2022
Practice Location
- Address
- 5856 CORNER OAKS DR
- City
- Hope Mills
- State
- North Carolina
- ZIP Code
- 28348-9355
- Phone
- (910) 977-7598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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