Individual
CARRIE MCLAIN MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
11115 PARKLEIGH DR, CHARLOTTE, NC 28262-4463
(336) 757-6192
Mailing address
11115 PARKLEIGH DR, CHARLOTTE, NC 28262-4463
(336) 757-6192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9521
NC
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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