JODY ANN THIBAULT

CHARLOTTE, NC
NPI1356671085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2617)
Enumeration Date2009-12-31
Last Update Date2016-08-17
Business Address
-- JODY ANN THIBAULT CSAC
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
Mailing Address
-- JODY ANN THIBAULT CSAC
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
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