Individual
MISTY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14636 REESE BLVD W, HUNTERSVILLE, NC 28078-7946
(704) 849-0144
Mailing address
2124 CROWN CENTRE DR STE 400, CHARLOTTE, NC 28227-7804
(704) 849-0144
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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