Individual
TONDRA L SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
125 E PLAZA DR STE 118, MOORESVILLE, NC 28115-8087
(980) 210-3151
Mailing address
1875 WHITE PLAINS CHURCH RD, JEFFERSON, SC 29718-7804
(843) 622-5768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/27/2021
Last updated
08/31/2022
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