Individual
MICHEALE COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
400 CRUTCHFIELD ST STE D, DURHAM, NC 27704-2771
(919) 251-8806
Mailing address
102 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26102
NC
101YM0800X
Mental Health Counselor
A15467
NC
101YP2500X
Professional Counselor
A15467
NC
Other
Enumeration date
01/12/2020
Last updated
01/13/2020
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