Individual
MS. SALLIE D VALLEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
515 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-1697
(704) 873-1698
Mailing address
515 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-1697
(704) 873-1697
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10324
BCBS
NC
Enumeration date
11/01/2006
Last updated
07/08/2007
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