Individual
LISA RENE WARLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 871-1045
(704) 883-8638
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22244-A
NC
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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