Individual
MS. MARY HEATHER BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
700 CHURCH ST N, CONCORD, NC 28025-4379
(704) 430-6347
Mailing address
117 KASE CT, MOORESVILLE, NC 28117-8019
(704) 430-6347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-1306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCAS-1306
NCSAPPB
NC
Enumeration date
02/27/2008
Last updated
07/21/2022
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