ALEXEI B KAMPOV POLEVEI

CHAPEL HILL, NC
NPI1164501516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1084)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
-- ALEXEI B KAMPOV POLEVEI LCAS
101 MANNING DR
CHAPEL HILL, NC 27599-0001
Phone number: 919-966-8596
Mailing Address
-- ALEXEI B KAMPOV POLEVEI LCAS
143 W FRANKLIN ST
CHAPEL HILL, NC 27516-2539
Phone number: 919-966-8596