Individual
GLENDA J ROULHAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCAS, CCS
Contact information
Practice address
1573 SAVANNAH HEIGHTS DR, KINSTON, NC 28501-7268
(252) 522-1071
(252) 522-1039
Mailing address
1573 SAVANNAH HEIGHTS DR, KINSTON, NC 28501-7268
(252) 522-1071
(252) 522-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1275
NC
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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