LEON JACKSON PERNELL

HENDERSON, NC
NPI1821249541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  56)
Enumeration Date2008-10-01
Last Update Date2008-10-01
Business Address
Mr. LEON JACKSON PERNELL LCAS
804 S GARNETT ST
HENDERSON, NC 27536-4571
Phone number: 252-430-8774
Mailing Address
Mr. LEON JACKSON PERNELL LCAS
804 S GARNETT ST
HENDERSON, NC 27536-4571
Phone number: 252-430-8774
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