Individual
CHARLA MARIE DURANTE ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22401
NC
101YM0800X
Mental Health Counselor
A9031
NC
101YP2500X
Professional Counselor
9031
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922360098
—
NC
Enumeration date
06/13/2012
Last updated
12/14/2021
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