Individual
MR. MICHAEL W WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
133 W CORNELIUS-HARNETT BLVD, SUITE B, LILLINGTON, NC 27546-7854
(910) 814-0394
(910) 814-1426
Mailing address
108 N ORANGE AVE, DUNN, NC 28334-3826
(910) 891-7062
(910) 892-3764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23
LCAS
NC
05
—
6111840
—
NC
Enumeration date
05/11/2007
Last updated
07/09/2007
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