Organization
CHANCELLOR'S PLACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ORIAKU HAMPTON-SOWELL (OWNER)
(704) 649-1080
Entity
Organization
Contact information
Practice address
9814 HOLLY PARK DR, CHARLOTTE, NC 28214-1041
(704) 649-1080
Mailing address
PO BOX 680965, CHARLOTTE, NC 28216-0017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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