Individual
DANIELLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-2924
NC
1041C0700X
Clinical Social Worker
Primary
C014482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200905260
—
NC
Enumeration date
10/11/2012
Last updated
05/06/2025
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