Organization
CHARLOTTE COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMARR J FUNDERBURG LCSW, LCAS, CCS, (OWNER/THERAPIST)
(704) 771-4633
Entity
Organization
Contact information
Practice address
1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4539
(704) 771-4633
(980) 225-5555
Mailing address
3602 NEWCHURCH CIR, CHARLOTTE, NC 28269-7702
(704) 771-4633
(980) 225-5555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1184
NC
101YM0800X
Mental Health Counselor
C005599
NC
103K00000X
Behavior Analyst
C005599
NC
1041C0700X
Clinical Social Worker
C005599
NC
251S00000X
Community/Behavioral Health Agency
C005599
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106615
—
NC
Enumeration date
12/31/2009
Last updated
02/26/2024
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