Individual
SALLY TURNER WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
7224 PARK RD, CHARLOTTE, NC 28210-6133
(704) 716-5573
Mailing address
7224 PARK RD, CHARLOTTE, NC 28210-6133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12004A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647057984-8
HEALTHCARE PROVIDERS SERVICE ORGANIZATION
—
Enumeration date
06/09/2017
Last updated
06/09/2017
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