Individual
AMY FOX BACIGALUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
330 BILLINGSLEY RD, STE 102, CHARLOTTE, NC 28211-5055
(704) 444-2574
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13213
NC
101YP2500X
Professional Counselor
13213
NC
Other
Enumeration date
05/02/2018
Last updated
07/15/2024
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