Individual
MS. J'WANNA DANIELLE SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPCS
Contact information
Practice address
1337 E GARRISON BLVD, GASTONIA, NC 28054-5127
(704) 865-3848
(704) 854-3086
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1150356
SC
101YM0800X
Mental Health Counselor
Primary
20841
NC
101YP2500X
Professional Counselor
1150356
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
05/03/2012
Last updated
12/18/2024
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