Organization
EMPOWER HOUSE CENTER FOR SELF-EFFICACY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RETARIDES LCMHC (FOUNDER)
(203) 804-7649
Entity
Organization
Contact information
Practice address
17714 KINGS POINT DR STE B2, CORNELIUS, NC 28031-6928
(203) 804-7649
Mailing address
17714 KINGS POINT DR STE B2, CORNELIUS, NC 28031-6928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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