Individual
MISS MAMATA GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
5108 REAGAN DR STE 14, CHARLOTTE, NC 28206-1395
(704) 332-8787
(704) 332-8788
Mailing address
6008 JESTER LN, CHARLOTTE, NC 28211-4327
(704) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15205
NC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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