Individual
TIA MICHELE MONTIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Mailing address
4231 KELLYBROOK DR, CONCORD, NC 28025-7100
(704) 776-0303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29115
NC
101YM0800X
Mental Health Counselor
A19091
NC
Other
Enumeration date
05/23/2023
Last updated
01/15/2025
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