Individual
MRS. GLORIA L RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2285 ADAMS ST, WILMINGTON, NC 28401-7101
(719) 640-2599
Mailing address
2285 ADAMS ST, WILMINGTON, NC 28401-7101
(719) 640-2599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21870
NC
Other
Enumeration date
03/09/2017
Last updated
02/22/2021
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