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Individual

MRS. MONIQUE WILLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC

Contact information

Practice address
3539 DANIEL PLACE DR, CHARLOTTE, NC 28213-4818
(301) 904-9892
Mailing address
3539 DANIEL PLACE DR, CHARLOTTE, NC 28213-4818
(301) 904-9892

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20233
NC
101YP2500X
Professional Counselor
Primary
9328
NC

Other

Enumeration date
11/29/2012
Last updated
08/03/2016
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