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1891494944
DANIEL CORNELIUS CHESTNUT
ROCKY MOUNT, NC
NPI
1891494944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-24310)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
DANIEL CORNELIUS CHESTNUT LCAS-A
505 SUNSET AVE
ROCKY MOUNT, NC 27804-5616
Phone number: 252-212-5844
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Mailing Address
DANIEL CORNELIUS CHESTNUT LCAS-A
PO BOX 225
WENDELL, NC 27591-0225
Phone number: 919-906-2461
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