Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 14500 | NC |
NPI | 1003295874 |
---|---|
Provider Name | Sherry Whisnant |
First Address | Nebo, NC 28761-0964 |
Second Address | Morganton, NC 28655-3593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2015 |
Last Update Date | 26/05/2015 |