Individual
MICHELLE L CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2433
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-7760
(704) 316-7761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
4982
NC
Other
Enumeration date
07/12/2011
Last updated
10/28/2020
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