Organization
COUNSELING ASSOCIATES AT THE LAKE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LITTLE SMITH L.C.S.W. (OWNER/THERAPIST)
(704) 301-5424
Entity
Organization
Contact information
Practice address
19501 W CATAWBA AVE, MAILBOX 10, CORNELIUS, NC 28031-4017
(704) 301-5424
Mailing address
19501 W CATAWBA AVE, MAILBOX 10, CORNELIUS, NC 28031-4017
(704) 301-5424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
COO2912
NC
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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