Individual
JENNA LYNN KELLEY HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
145 SCALEYBARK RD STE B, CHARLOTTE, NC 28209-2682
(704) 717-2809
Mailing address
11508 FALLING LEAVES DR, CHARLOTTE, NC 28277-9129
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
12059A
NC
106H00000X
Marriage & Family Therapist
Primary
2149
NC
Other
Enumeration date
01/24/2018
Last updated
07/22/2020
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