Individual
EMMA ROSE BRAISTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
700 EAST BLVD STE 1, CHARLOTTE, NC 28203-5156
(704) 980-3082
(704) 980-3082
Mailing address
700 EAST BLVD STE 1, CHARLOTTE, NC 28203-5156
(704) 980-3082
(704) 980-3082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17345
NC
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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