Provider Demographics
NPI:1649470865
Name:NUNEZ, JOANNA MICHELE GARCIA (MSW, LCAS, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:MICHELE GARCIA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:MSW, LCAS, LCSW
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:MICHELE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-0262
Mailing Address - Country:US
Mailing Address - Phone:910-483-0005
Mailing Address - Fax:910-483-0045
Practice Address - Street 1:505B OWEN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3433
Practice Address - Country:US
Practice Address - Phone:910-483-0005
Practice Address - Fax:910-483-0045
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS 1437101YA0400X
NCC0065421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)