Individual
CALVIN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M/A, LCAS-A
Contact information
Practice address
3215 ARKLOW RD, CHARLOTTE, NC 28269-0998
(980) 214-0719
Mailing address
3215 ARKLOW RD, CHARLOTTE, NC 28269-0998
(980) 214-0719
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25998
NC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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