Individual
WANDA BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6889
(980) 406-3627
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6889
(980) 406-3627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1927
NC
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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