Individual
AYSIA GRAVES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16507 NORTHCROSS DR STE A, HUNTERSVILLE, NC 28078-5082
(704) 284-7330
Mailing address
16507A NORTHCROSS DR STE 109, HUNTERSVILLE, NC 28078-5081
(704) 284-7330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235450149
—
NC
Enumeration date
06/15/2010
Last updated
07/11/2022
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