Individual provider · Type 1 NPI

Queen Willard

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1801496138 Active

Practice location

521 Clanton Rd
Charlotte, NC 28217-1369

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-26319 (NC)

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

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About NPI 1801496138

Queen Willard's National Provider Identifier is 1801496138, issued on Oct 27, 2020. 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 Oct 27, 2020.