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Organization

CREATIVE LIVING ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN REDIEHS PH.D. (SENIOR ASSOCIATE)
(704) 788-9184
Entity
Organization

Contact information

Practice address
101 VANCE AVE, KANNAPOLIS, NC 28081-4339
(704) 788-9184
Mailing address
1001 E WT HARRIS BLVD, SUITE P-317, CHARLOTTE, NC 28213-4104

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2296
NC
106H00000X
Marriage & Family Therapist
526
NC

Other

Enumeration date
01/03/2007
Last updated
09/11/2025
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