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Provider Information for 1124174693


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ERIN LANIER msw


Sex: Female

NPI: 1124174693
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1124174693
Enumeration Date2007-01-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604-6445
United States

Phone: 919-787-6131 | Fax:
 
Primary Practice Address 2101 GARNER RD STE 113
RALEIGH, NC 27610-4687
United States

Phone: 919-787-6131 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YA0400X - Counselor - Addiction (Substance Use Disorder)