Individual
ALTHEA DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
122 KONNOAK VILLAGE CIR, WINSTON SALEM, NC 27127-6118
(336) 965-9137
Mailing address
122 KONNOAK VILLAGE CIR, WINSTON SALEM, NC 27127-6118
(336) 965-9137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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