Individual
RENE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAS-A
Contact information
Practice address
355 BECKWITH AVE, CLAYTON, NC 27527-4258
(919) 538-8920
Mailing address
355 BECKWITH AVE, CLAYTON, NC 27527-4258
(919) 538-8920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29437
NC
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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