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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619664232

Sidney Miller Deramus, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Hickory, North Carolina. Works from 5 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

929 15th St NE Ste 100
Hickory, NC 28601-4162
Phone: (828) 327-6026
Fax: (828) 327-8796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4330 Viola Sipe Dr, Conover, NC 28613-8839 — (828) 256-3436
  • 929 15th St Ne Ste 310, Hickory, NC 28601-4162 — (828) 327-6026
  • 929 15th St Ne Ste 330, Hickory, NC 28601-4162 — (828) 327-6026
  • 929 15th St Ne Ste 320, Hickory, NC 28601-4162 — (828) 327-6026

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-28751 (NC)

Record details

NPI number1619664232
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

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