Individual
CYNTHIA REAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CSAC-I
Contact information
Practice address
7003 WALLACE RD, STE 100, CHARLOTTE, NC 28212-6815
(704) 536-6853
Mailing address
PO BOX 36130, CHARLOTTE, NC 28236-6130
(704) 232-8669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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