Individual
MRS. HEATHER NICOLE BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
7003 WALLACE RD, CHARLOTTE, NC 28212-6815
(704) 536-6853
Mailing address
6003 CORKTREE CT, CHARLOTTE, NC 28212-1742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23699
NC
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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