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Individual

MICHELLE RENEE CLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS-A, MAC, B.B.A

Contact information

Practice address
10508 PARK RD STE 130, CHARLOTTE, NC 28210-8526
(704) 874-0200
Mailing address
1161 ANDREWS RD, FAYETTEVILLE, NC 28311-1156
(910) 624-1771

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/02/2021
Last updated
04/18/2024
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