Individual
SARDIE ROCHELLE IZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A, LCSW-A
Contact information
Practice address
1102 KINDLEY ST, GREENSBORO, NC 27406-4213
(336) 458-7135
Mailing address
405 BATTLEGROUND AVE STE 205, GREENSBORO, NC 27401-2153
(336) 550-4558
(336) 550-4561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22298
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
P015906
NC
Other
Enumeration date
05/05/2011
Last updated
03/28/2024
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