Individual
MRS. MARY ALISON REITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMFT, NCC
Contact information
Practice address
2975 MEMORIAL HWY STE A-3, LAKE LURE, NC 28746-9249
(704) 858-2926
Mailing address
PO BOX 651, LAKE LURE, NC 28746-0651
(704) 574-3113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14382
NC
101Y00000X
Counselor
6610
SC
106H00000X
Marriage & Family Therapist
1756
NC
Other
Enumeration date
02/06/2014
Last updated
02/18/2019
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