# CAROLINAS PSYCHIATRIC ASSOCIATES CHRISTIAN COUNSELING CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700087483
- **Authorized official:** DR. PUSHPA CHANDER MD (PHYSICIAN)
- **Authorized official phone:** (704) 852-9210

## Contact information

- **Practice address:** 1552 UNION RD STE C, GASTONIA, NC 28054-5523
- **Practice address phone:** (704) 852-9210
- **Practice address fax:** (704) 852-9211
- **Mailing address:** 1552 UNION RD STE C, GASTONIA, NC 28054-5523
- **Mailing address phone:** (704) 852-9210
- **Mailing address fax:** (704) 852-9211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 200001334296 | NC | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 01/31/2011