Individual
DATWON DESHAWN CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCAS
Contact information
Practice address
757 MILL RD, HAMLET, NC 28345-8841
(336) 465-6036
Mailing address
757 MILL RD, HAMLET, NC 28345-8841
(336) 465-6036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26041
NC
Other
Enumeration date
10/09/2019
Last updated
01/02/2024
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