Individual
CAROLYN MITCHELL MIALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1945 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4555
(704) 548-5299
(704) 548-5292
Mailing address
1300 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105-2306
(704) 548-5299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12553
NC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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