Individual
MRS. MARTHA JOAN WENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 BILLINGSLEY RD, COTTAGE E - ADULT PARTIAL HOSPITALIZATION, CHARLOTTE, NC 28211-1009
(704) 444-2518
Mailing address
31007 EXECUTIVE PT, TEGA CAY, SC 29708-8503
(803) 802-3670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4794
SC
101YP2500X
Professional Counselor
Primary
5050
NC
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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