RUSSELL MEYERS

PINE KNOLL SHORES, NC
NPI1235676743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-20883)
Enumeration Date2017-01-22
Last Update Date2017-01-22
Business Address
-- RUSSELL MEYERS LCAS-A
280 SALTER PATH RD
PINE KNOLL SHORES, NC 28512-6120
Phone number: 252-240-0019
Mailing Address
-- RUSSELL MEYERS LCAS-A
280 SALTER PATH RD
PINE KNOLL SHORES, NC 28512-6120
Phone number: 252-240-0019