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Individual

ROLLIS MARK MILES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
831 BAXTER ST, SUITE 205, CHARLOTTE, NC 28202-2887
(585) 748-1388
Mailing address
831 BAXTER ST, SUITE 205, CHARLOTTE, NC 28202-2887

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A12657
NC
101YP2500X
Professional Counselor
Primary
A12657
NC

Other

Enumeration date
02/07/2017
Last updated
10/02/2018
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