Individual
MISS TRECIA MOODIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
3815 N TRYON ST, CHARLOTTE, NC 28206-2060
(704) 372-8809
(833) 328-5728
Mailing address
3815 N TRYON ST, CHARLOTTE, NC 28206-2060
(704) 372-8809
(833) 328-5728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
508607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21286
—
NC
Enumeration date
01/29/2008
Last updated
04/10/2019
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