Individual
CHISA MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-1175
Mailing address
1990 ALLEN RD, SUITE F, GREENVILLE, NC 27834
(252) 756-1005
(252) 756-1085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2912
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
12/16/2024
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