Individual
MR. EDWARD MAURICE BLEVINS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 927-8813
(704) 376-3384
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 927-8813
(704) 376-3384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC 2297
NC
Other
Enumeration date
06/11/2010
Last updated
07/08/2010
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