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NPI Code Detail

MEDICARE: BRITTANY JANELLE POINDEXTER LCAS-A

MEDICARE: BRITTANY JANELLE POINDEXTER LCAS-A
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) CounselorLCAS-29443NC

General Provider Information

NPI Number : 1790558773
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY JANELLE POINDEXTER LCAS-A
Provider Business Mailing Address
First Line : 326 S EUGENE ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-2322
Country : US
Telephone Number : 336-310-5098
Fax Number :
Provider Business Practice Location Address
First Line : 326 S EUGENE ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-2322
Country : US
Telephone Number : 336-310-5098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “ BRITTANY JANELLE POINDEXTER LCAS-A” Practice Location

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