Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Archie Pender, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790113454

Archie Pender, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3709 Nash St NW
Wilson, NC 27896-1127
Phone: (252) 206-5799
Fax: (252) 206-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-21378 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P010209 (NC)

Record details

NPI number1790113454
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedOctober 16, 2013
Last updated in NPPESJune 25, 2019

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