Individual
PHYLLIS BARNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
5421 COBURG AVE, CHARLOTTE, NC 28215-2203
(704) 231-1469
(704) 568-6587
Mailing address
P.O. BOX 43686, CHARLOTTE, NC 28215-1985
(704) 231-1469
(704) 568-6587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2109
NC
Other
Enumeration date
09/26/2013
Last updated
10/01/2013
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