Individual
SHOMARA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 S MAIN ST, SALISBURY, NC 28144-5412
(704) 603-8285
Mailing address
1100 BRINGLE FERRY RD, APT. 421, SALISBURY, NC 28144-4716
(704) 806-3749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20961
NC
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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