Individual provider · Type 1 NPI

Charly Marie Harris, LCAS

Addiction (Substance Use Disorder) Counselor · Yadkinville, NC

NPI number 1790041515 Active

Practice location

129 W Main St
Yadkinville, NC 27055

Other practice locations

  • 1430 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 · (336) 667-5151
  • 1170 Fairgrove Church Rd, Hickory, NC 28602-9695 · (828) 464-1172

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3047 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790041515

Charly Marie Harris, LCAS's National Provider Identifier is 1790041515, issued on Apr 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yadkinville, NC. The record was last updated on Dec 19, 2023.