Provider Demographics
NPI:1437309002
Name:LUPTON, JAMES L (MA, LPA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:LUPTON
Suffix:
Gender:M
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 HWY 158
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-8378
Mailing Address - Country:US
Mailing Address - Phone:252-519-2273
Mailing Address - Fax:252-535-2399
Practice Address - Street 1:1704 HWY 158
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-8378
Practice Address - Country:US
Practice Address - Phone:252-519-2273
Practice Address - Fax:252-535-2399
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health