Individual
ANDREA ALLISON GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
300 COPPERFIELD BLVD NE, CONCORD, NC 28025-2428
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21731
NC
106H00000X
Marriage & Family Therapist
Primary
LMFTA-10018A
NC
Other
Enumeration date
01/23/2015
Last updated
05/06/2019
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