Individual
CAROLYN KELLY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCMHCA
Contact information
Practice address
9719 NORTHEAST PKWY STE 100, MATTHEWS, NC 28105-9713
(980) 999-4787
Mailing address
435 WALNUT AVE, CHARLOTTE, NC 28208-4533
(302) 220-9003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16862
NC
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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