Individual
YAMARA CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 LATROBE DR STE 340, CHARLOTTE, NC 28211-4823
(704) 247-6658
Mailing address
2701 BOBWHITE CIR, WINGATE, NC 28174-9657
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
11/22/2021
Last updated
03/27/2023
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