Individual provider · Type 1 NPI
Jody Ann Thibault, CSAC
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1356671085
Active
Practice location
100 Billingsley Rd
Charlotte, NC 28211-1002
Fax (704) 376-3384
Mailing address
429 Billingsley Rd
Charlotte, NC 28211-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2617 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1356671085
Jody Ann Thibault, CSAC's National Provider Identifier is 1356671085, issued on Dec 31, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Aug 17, 2016.