Individual
STACY LACOLE SALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3812 DRY BROOK RD, APT I, CHARLOTTE, NC 28269-0765
(423) 833-9476
(423) 833-9476
Mailing address
2553 WILLOW POND LN SE, CONCORD, NC 28025-0030
(980) 888-3711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
10113
NC
Other
Enumeration date
05/17/2007
Last updated
10/24/2022
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