Individual
MS. MARCIA REANEE CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, MA, LCASA
Contact information
Practice address
86 THREE HUNTS DR, PEMBROKE, NC 28372-8998
(910) 374-9477
Mailing address
1132 MISSOURI RD, MAXTON, NC 28364-8097
(910) 374-9477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27974
NC
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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