Individual
SATION KONCHELLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 W MARKET ST, GREENSBORO, NC 27403-4432
(336) 494-5743
(866) 278-9217
Mailing address
PO BOX 122, SEDALIA, NC 27342-0122
(336) 494-5743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11840
NC
103TS0200X
School Psychologist
1068603
NC
Other
Enumeration date
03/17/2015
Last updated
12/05/2025
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