Provider Demographics
NPI:1154627271
Name:STROUGHTON, JANET NEGRON (LCAS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:NEGRON
Last Name:STROUGHTON
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 MAPLE GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-7692
Mailing Address - Country:US
Mailing Address - Phone:910-567-5020
Mailing Address - Fax:910-567-5022
Practice Address - Street 1:1480 MAPLE GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-7692
Practice Address - Country:US
Practice Address - Phone:910-567-5020
Practice Address - Fax:910-567-5022
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1773101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)