SHELLEY ALICEA

GASTONIA, NC
NPI1841576287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1901)
Enumeration Date2011-10-31
Last Update Date2011-10-31
Business Address
-- SHELLEY ALICEA LCAS
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-865-1558
Mailing Address
-- SHELLEY ALICEA LCAS
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001