Individual
TANYA ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W ROOSEVELT BLVD, MONROE, NC 28110-2762
(704) 332-9001
(704) 332-0124
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
(704) 332-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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