Individual
KATHY MOORE DICOLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Mailing address
7210 APPLECREEK DR, CHARLOTTE, NC 28227-5258
(704) 545-3624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4178
NC
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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