Individual provider · Type 1 NPI
Willie Shine, CSAC
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1407253123
Active
Practice location
7925 North Tryon St
Charlotte, NC 28262
Fax (704) 498-4846
Mailing address
7925 N Tryon St
Charlotte, NC 28262-3408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CSAC-20389 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407253123
Willie Shine, CSAC's National Provider Identifier is 1407253123, issued on Nov 24, 2014. 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 Nov 24, 2014.