Individual
CHARNYKA DESIREE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
140 N STEELE ST STE 17, SANFORD, NC 27330-3967
(919) 348-9231
Mailing address
PO BOX 2036, SANFORD, NC 27331-2036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25897
NCSAPPB
NC
Enumeration date
10/08/2019
Last updated
10/08/2019
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