SearchNorth CarolinaAddiction (Substance Use Disorder) Counselor

Willie Shine, CSAC

NPI 1407253123 · on the registry since 2014 · sole proprietor

Practice

Address
7925 North Tryon St
Charlotte, NC 28262
Phone
(704) 612-0566
Fax
(704) 498-4846
Clinicians at this address
6

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina