Individual
MICHELLE SUMMER LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, CTP
Contact information
Practice address
2324 CONCORD LAKE RD, CONCORD, NC 28025-2814
(704) 918-1343
Mailing address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/19/2020
Last updated
05/25/2022
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