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Organization
WISTERIA COUNSELING AND CONSULTING
Active
Organization
WISTERIA COUNSELING AND CONSULTING
Active
Other names
Wisteria Counseling and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER L DOUGLAS LCSW (OWNER)
(704) 561-1522
Entity
Organization
Contact information
Practice address
322 LAMAR AVE STE 208, CHARLOTTE, NC 28204-2436
(704) 561-1522
Mailing address
322 LAMAR AVE STE 208, CHARLOTTE, NC 28204-2436
(704) 561-1522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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