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Organization
AFFINITY CLINICAL SERVICES, PLLC
Active
Organization
AFFINITY CLINICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL NDUPU LCMHCS, CCS, LCAS (CLINICAL DIRECTOR, OWNER)
(980) 224-8060
Entity
Organization
Contact information
Practice address
5500 EXECUTIVE CENTER DRIVE, SUITE 118, CHARLOTTE, NC 28212
(980) 224-8060
(704) 379-1914
Mailing address
5500 EXECUTIVE CENTER DRIVE, SUITE 118, CHARLOTTE, NC 28212
(980) 224-8060
(704) 379-1914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4936
NC
251X00000X
Supports Brokerage Agency
Primary
—
NULL
Other
Enumeration date
04/17/2017
Last updated
06/19/2023
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