Individual
MS. PAULETTE CULBERTSON HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3705 LATROBE DR, SUITE 340, CHARLOTTE, NC 28211-4824
(704) 364-3989
(704) 364-3974
Mailing address
135 DAVID CT, FORT MILL, SC 29715-2523
(704) 877-9910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1177
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
202726
NC
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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