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Individual

ELLISON BATES SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCA, NCC

Contact information

Practice address
8401 UNIVERSITY EXEC PARK DR, SUITE 106, CHARLOTTE, NC 28262-3386
(704) 716-1146
Mailing address
2132 FLORAL AVE, CHARLOTTE, NC 28203-6024
(803) 467-8772

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12559
NC

Other

Enumeration date
09/06/2016
Last updated
10/06/2016
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