| Mr Wade Mixon, LCAS-A | |
|
1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | |
| (910) 567-7155 | |
| Not Available |
| Full Name | Mr Wade Mixon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1480 Maple Grove Church Rd, Dunn, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164993804 | NPI | - | NPPES |
| 1427087709 | Medicaid | NC | |
| 01 | Other | NC | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23170 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wade Mixon, LCAS-A 3331 Easy St, Dunn, NC 28334-7988 Ph: (910) 567-7067 | Mr Wade Mixon, LCAS-A 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 Ph: (910) 567-7155 |
Khalidah Khadijah Harvey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 731 Tilghman Dr, Dunn, NC 28334 Phone: 910-249-4219 | |
Amy Christine Beasley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 W Broad St Ste B, Dunn, NC 28334 Phone: 910-985-3040 | |
Alaina Mae Kidwell, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 731 Tilghman Dr, Dunn, NC 28334 Phone: 910-249-4219 | |
Mrs. Debra Hutton Ferguson, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 W Broad St Ste B, Dunn, NC 28334 Phone: 910-808-1733 Fax: 919-901-4005 | |
Bennie David Jones, L.P.C-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 S Layton Ave, Dunn, Dunn, NC 28334 Phone: 980-721-5711 | |
Mrs. Janet Negron Stroughton, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1480 Maple Grove Church Rd, Dunn, NC 28334 Phone: 910-567-5020 Fax: 910-567-5022 |