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Individual

CORINNE MEADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LCAS

Contact information

Practice address
108 GATEWAY BLVD, STE 207, MOORESVILLE, NC 28117-5596
(704) 664-1175
(704) 664-1193
Mailing address
146 BRANTLEY PLACE DR, MOORESVILLE, NC 28117-6859
(740) 953-0173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6005932
NC
101YM0800X
Mental Health Counselor
6733
NC

Other

Enumeration date
10/11/2007
Last updated
10/19/2009
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