Individual
ELIZABETH DE LA CRUZ WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212-8841
(704) 319-7643
(704) 561-0851
Mailing address
5601 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212-8841
(704) 319-7643
(704) 561-0851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2622
NC
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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