Individual
REBECA MELENDEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
4868 KEENELAND PL SW, CONCORD, NC 28027-3902
(704) 502-8487
Mailing address
4868 KEENELAND PL SW, CONCORD, NC 28027-3902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2092
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23354
NC
Other
Enumeration date
04/15/2010
Last updated
04/04/2017
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