NATHAN DURANT BLANTON

LUMBERTON, NC
NPI1306127444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1844)
Enumeration Date2011-09-02
Last Update Date2011-09-02
Business Address
-- NATHAN DURANT BLANTON LCAS
402 N PINE ST SUITE C
LUMBERTON, NC 28358-5563
Phone number: 910-739-1666
Mailing Address
-- NATHAN DURANT BLANTON LCAS
60 COMMERCE PLZ
PEMBROKE, NC 28372-7386
Phone number: 910-521-2900