Individual
TRELONNIE D OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
10949 WILKLEE DR, CHARLOTTE, NC 28277-2081
(910) 499-1072
Mailing address
10949 WILKLEE DR, CHARLOTTE, NC 28277-2081
(910) 499-1072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L28489
NC
343900000X
Non-emergency Medical Transport (VAN)
1228757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1228757
NORTH CAROLINA DEPARTMENT FO VOCATIONAL REHABILITATION
NC
Enumeration date
08/18/2016
Last updated
04/13/2023
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