Individual
DR. GLORIA SAMANTHA COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCT
Contact information
Practice address
2241B BEATTIES FORD RD, CHARLOTTE, NC 28216-4311
(704) 492-8899
Mailing address
545 MOSS STREAM LN, CHARLOTTE, NC 28214-8846
(704) 492-8899
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
GC129795
MS
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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