Individual
ANN-SOPHIE JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, CRC
Contact information
Practice address
301 MCCULLOUGH DR STE 400, CHARLOTTE, NC 28262-1336
(980) 296-0044
Mailing address
1700 N BREVARD ST APT 151, CHARLOTTE, NC 28206-3612
(305) 979-0969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16936
NC
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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