Individual
MRS. LETISHA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
121 E WATER ST, #3, LINCOLNTON, NC 28092-2728
(704) 240-3838
(980) 225-0537
Mailing address
2631 SHAMROCK DR, CHARLOTTE, NC 28205-2213
(704) 201-0529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12367
NC
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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