Individual
MRS. ANGLE M GOLDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, QP, CPSS, LCAS-A
Contact information
Practice address
5135 N CHURCH ST, GREENSBORO, NC 27455-1339
(336) 324-7761
Mailing address
5135 N CHURCH ST, GREENSBORO, NC 27455-1339
(336) 324-7761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCASA-20069
NC
174400000X
Specialist
2013-1048-01
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013-1048-01
NORTH CAROLINA CERTIFIED PEER SUPPORT SPECIALIST
NC
01
—
LCASA-20069
NC SUBSTANCE ABUSE PROFESSIONAL BOARD
NC
Enumeration date
09/29/2010
Last updated
06/16/2018
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