Individual
CHARONDA NICOLE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
135 BEAUMONT OAKS DR APT 101, WILMINGTON, NC 28411-0307
(919) 703-8901
Mailing address
135 BEAUMONT OAKS DR APT 101, WILMINGTON, NC 28411-0307
(919) 703-8901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29076
NC
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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