Individual
CHARLY MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
129 W MAIN ST, YADKINVILLE, NC 27055
(336) 677-3900
Mailing address
129 W MAIN ST, YADKINVILLE, NC 27055
(336) 677-3900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3047
NC
Other
Enumeration date
04/05/2012
Last updated
12/19/2023
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