TINA ANDREA WILSON

CHARLOTTE, NC
NPI1548696388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3496A)
Enumeration Date2013-09-25
Last Update Date2013-09-25
Business Address
-- TINA ANDREA WILSON LCAS-A
8430 UNIVERSITY EXEC PARK DR STE. 655
CHARLOTTE, NC 28262-1350
Phone number: 704-596-5553
Mailing Address
-- TINA ANDREA WILSON LCAS-A
8430 UNIVERSITY EXEC PARK DR STE. 655
CHARLOTTE, NC 28262-1350
Phone number: 704-596-5553