Individual
MISS COURTNEY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1777 MICHELLE CT, FAYETTEVILLE, NC 28304-5558
(910) 850-5540
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 850-5540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-24784
NC
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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