Individual
DEVIONNE MIKEL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
6419 BANNINGTON RD STE B, CHARLOTTE, NC 28226-1341
(704) 533-5810
Mailing address
6419 BANNINGTON RD STE B, CHARLOTTE, NC 28226-1341
(704) 533-5810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21070
NC
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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