Provider Demographics
NPI:1700422698
Name:PEARSON, NAKIA (CSAC-R CPSS)
Entity type:Individual
Prefix:
First Name:NAKIA
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:CSAC-R CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S GEORGE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-5717
Mailing Address - Country:US
Mailing Address - Phone:919-738-9180
Mailing Address - Fax:
Practice Address - Street 1:701 S GEORGE ST STE 7
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-5717
Practice Address - Country:US
Practice Address - Phone:919-738-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)