Individual
MONIQUE ANCHELLE CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N MANGUM ST STE 400, DURHAM, NC 27701-2260
(919) 683-1607
(919) 683-1790
Mailing address
4218 QUAIL HIGH BLVD, MORRISVILLE, NC 27560-7024
(301) 704-7618
(919) 683-1790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23045
NC
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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