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Organization
SOUTHEAST CHILD & FAMILY GUIDANCE, PLLC
Active
Organization
SOUTHEAST CHILD & FAMILY GUIDANCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BREADY LCMHC (OWNER/MANAGER)
(704) 770-8049
Entity
Organization
Contact information
Practice address
105 WAXHAW PROFESSIONAL PARK DR STE H, WAXHAW, NC 28173-5018
(704) 770-8049
(704) 256-9968
Mailing address
105 WAXHAW PROFESSIONAL PARK DR STE H, WAXHAW, NC 28173-5018
(704) 770-8049
(704) 256-9968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
04/04/2024
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