Individual
ANGELINA BREEDEN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 KIRK FARM LN, 202, CHARLOTTE, NC 28213-4048
(704) 900-6886
Mailing address
1503 KIRK FARM LN, 202, CHARLOTTE, NC 28213-4048
(704) 900-6886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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