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Organization

BLUE SAGE COUNSELING AND WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY FRANCIS MS, LMFT, LPCA (LICENSED MARRIAGE AND FAMILY THERAP)
(704) 778-6141
Entity
Organization

Contact information

Practice address
5200 PARK RD STE 229, CHARLOTTE, NC 28209-3651
(704) 778-6141
Mailing address
5200 PARK RD STE 229, CHARLOTTE, NC 28209-3651
(704) 778-6141

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A10010
NC
106H00000X
Marriage & Family Therapist
Primary
1663
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316324940
NC
05
15183204601
NC
Enumeration date
11/14/2017
Last updated
11/14/2017
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