person
Queen Willard
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1801496138

Queen Willard is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Queen Willard practices in Charlotte, NC. The NPI Number for Queen Willard is 1801496138 and holds a License No. LCAS-26319 (North Carolina).

The current practice location address for Queen Willard is 521 Clanton Rd, Charlotte, NC and can be reached out via phone at 704-755-0150.

Location: 521 Clanton Rd, Charlotte, NC, 28217-1369
person
Provider Profile Details
NPI Number
1801496138
Provider Name
Queen Willard
Credential
Provider Entity Type
Individual
Gender
Female
Address
521 Clanton Rd, Charlotte, NC, 28217-1369
Phone Number
704-755-0150
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
521 Clanton Rd
City
State
Zip
28217-1369
Phone Number
704-755-0150
Fax Number
person
Provider Business Mailing Address Details
Address
521 Clanton Rd
City
State
Zip
28217-1369
Phone Number
704-755-0150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-26319 (North Carolina)
Definition
Definition to come...
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