Individual
ANGELA KIRSTIE SIRVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS, LPC-A
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22058
NC
101YP2500X
Professional Counselor
A12418
NC
Other
Enumeration date
05/24/2016
Last updated
03/17/2018
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