WALLACE LAMONE ALSTON

CHARLOTTE, NC
NPI1023594108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-12
Last Update Date2018-07-12
Business Address
Mr. WALLACE LAMONE ALSTON
9517 SILVERDALE LN
CHARLOTTE, NC 28269-3469
Phone number: 704-534-7658
Mailing Address
Mr. WALLACE LAMONE ALSTON
9517 SILVERDALE LN
CHARLOTTE, NC 28269-3469
Phone number: 704-534-7658