Individual
JENNIFER AMY MACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2056 UNIVERSITY HEIGHTS LN, CHARLOTTE, NC 28213-4071
(704) 287-4060
Mailing address
2056 UNIVERSITY HEIGHTS LN, CHARLOTTE, NC 28213-4071
(704) 287-4060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10713
NC
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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