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

Mr. Wade Mixon, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164993804

Mr. Wade Mixon, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Dunn, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

1480 Maple Grove Church Rd
Dunn, NC 28334-7692
Phone: (910) 567-7155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23170 (NC)

Record details

NPI number1164993804
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedDecember 6, 2018
Last updated in NPPESDecember 6, 2018

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