Individual
MELODY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPCA
Contact information
Practice address
105 WAXHAW PROFESSIONAL PARK DR STE H, WAXHAW, NC 28173-5018
(704) 256-0305
(704) 256-9968
Mailing address
2359 FERNRIDGE LN, MATTHEWS, NC 28105-5881
(706) 399-9121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12960
NC
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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