Individual
MEGAN JADE AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 FAIRVIEW RD STE 420, CHARLOTTE, NC 28210-3167
(980) 701-4190
Mailing address
4809 SHADOW MOSS CT, CHARLOTTE, NC 28227-1245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
5799
NC
Other
Enumeration date
11/15/2019
Last updated
11/03/2020
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