Individual
MRS. CHARLEEN JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
(704) 531-9266
Mailing address
1707 LAUREL HILL DR, WAXHAW, NC 28173-0204
(407) 375-0752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13892
NC
101YP2500X
Professional Counselor
Primary
13892
NC
101YP2500X
Professional Counselor
GA006305
GA
Other
Enumeration date
02/04/2018
Last updated
08/30/2019
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