KATHRYN MICHELE WALLEN

WINSTON SALEM, NC
NPI1831443043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2787)
Enumeration Date2012-11-09
Last Update Date2012-11-09
Business Address
-- KATHRYN MICHELE WALLEN CSAC
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470
Mailing Address
-- KATHRYN MICHELE WALLEN CSAC
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470