CHIANTI LEAK

CHARLOTTE, NC
NPI1720656630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P016290)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  28735)
Enumeration Date2021-06-16
Last Update Date2023-09-28
Business Address
CHIANTI LEAK LCSWA
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
Mailing Address
CHIANTI LEAK LCSWA
5820 E W T HARRIS BLVD STE 205
CHARLOTTE, NC 28215-4032
Phone number: 704-469-1243