Individual
KATIE NICOLE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212-8883
(704) 537-1202
Mailing address
2613 DOUBLE OAKS RD, CHARLOTTE, NC 28206-1548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13777
NC
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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