Individual
DR. CHADWICK WELDON ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCMHCS
Contact information
Practice address
105 E CENTER ST OFC B-6, MEBANE, NC 27302-2420
(336) 684-0697
Mailing address
105 E CENTER ST OFC B-6, MEBANE, NC 27302-2420
(336) 684-0697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3419S
NC
101YP2500X
Professional Counselor
Primary
3419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3419
NC COUNSELING LICENSE
NC
Enumeration date
06/05/2007
Last updated
11/30/2021
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