Individual
TONYA UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 AVERSBORO RD STE 201, GARNER, NC 27529-3981
(919) 329-9400
Mailing address
1418 AVERSBORO RD STE 201, GARNER, NC 27529-3981
(919) 329-9400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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