Individual
DELITA CHAVIS-REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 865-1558
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 865-1558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21420
NC
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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