Individual
TANYA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
4400 ROSE RIDGE PL APT 3, CHARLOTTE, NC 28217-0937
(704) 504-8798
Mailing address
4400 ROSE RIDGE PL, CHARLOTTE, NC 28217-0998
(704) 504-8798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1423
NC
Other
Enumeration date
06/03/2009
Last updated
04/10/2013
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