Individual
MICHELLE D CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A, LCAS-A
Contact information
Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Mailing address
2710 STANTONSBURG RD, GREENVILLE, NC 27834-7270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24366
NC
101YP2500X
Professional Counselor
A14399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-0099693
—
NC
Enumeration date
07/15/2019
Last updated
07/15/2019
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