Individual
ALYSE CORRADETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
824 GUM BRANCH RD STE O, JACKSONVILLE, NC 28540-6269
(910) 545-1865
Mailing address
116 BLOSSOM CIR, HAMPSTEAD, NC 28443-3281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19624
NC
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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