Organization
ELIZABETH E. CORRELL, MA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ECHEVERRIA CORRELL MA, LMFT, LCAS (MARRIAGE AND FAMILY THERAPIST)
(704) 754-2050
Entity
Organization
Contact information
Practice address
206 JOE V KNOX AVE STE F, MOORESVILLE, NC 28117-7912
(704) 754-2050
(704) 662-6503
Mailing address
206 JOE V KNOX AVE STE F, MOORESVILLE, NC 28117-7912
(704) 754-2050
(704) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105136
—
NC
Enumeration date
09/29/2010
Last updated
09/29/2010
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