Individual
MISS DANIELLE JANICE GROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 LATROBE DR STE 340, CHARLOTTE, NC 28211-4823
(704) 644-9857
Mailing address
1308 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 644-9857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/02/2022
Last updated
09/20/2023
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