Individual
ANTOINETTE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO, BSW
Contact information
Practice address
2261 MILTON RD, CHARLOTTE, NC 28215-3320
(704) 890-0666
Mailing address
2261 MILTON RD, CHARLOTTE, NC 28215-3320
(704) 890-0666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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