Individual
BROOKE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 SARDIS RD N, SUITE M, CHARLOTTE, NC 28227-7715
(704) 344-0491
Mailing address
5124 WILLOW RUN DR, MONROE, NC 28110-7372
(704) 776-6625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1618
NC
1041C0700X
Clinical Social Worker
Primary
C006681
NC
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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