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Individual

MRS. METTIA ANN ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
5820 E WT HARRIS BLVD, CHARLOTTE, NC 28215-3541
(704) 251-7705
Mailing address
8345 SOUTH HIGHWAY 18, BOOMER, NC 28606
(336) 469-1963

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22651
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171W00000X
Contractor
LCAS-22651
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831633858
NC
Enumeration date
12/09/2016
Last updated
06/10/2025
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