Individual
MS. CONSTANCE REBECCA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCA
Contact information
Practice address
1931 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4540
(704) 565-9664
Mailing address
1931 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4540
(704) 565-9664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8996
NC
Other
Enumeration date
01/07/2014
Last updated
02/20/2014
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