Individual
MR. WALLACE LAMONE ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9517 SILVERDALE LN, CHARLOTTE, NC 28269-3469
(704) 534-7658
(980) 938-4354
Mailing address
9517 SILVERDALE LN, CHARLOTTE, NC 28269-3469
(704) 534-7658
(980) 938-4354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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