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NPI Code Detail

MEDICARE: MRS. JUDITH ANN HOREY L.C.A.S.

MEDICARE: MRS. JUDITH ANN HOREY L.C.A.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor118NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619061959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH ANN HOREY L.C.A.S.
Provider Business Mailing Address
First Line : 284 EXECUTIVE PARK DR
Second Line : SUITE 100
City : CONCORD
State : NC
Zip : 28025-1894
Country : US
Telephone Number : 704-939-1100
Fax Number : 704-939-1173
Provider Business Practice Location Address
First Line : 1104A S MAIN ST
Second Line :
City : LEXINGTON
State : NC
Zip : 27292-3134
Country : US
Telephone Number : 336-242-2450
Fax Number : 336-242-9920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 05/02/2017

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