Individual
KASORN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCASR
NC
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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