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Individual

RWENSHAUN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
10150 MALLARD CREEK RD STE 104, CHARLOTTE, NC 28262-4567
(919) 624-9954
Mailing address
2459 RYERSON CT, CHARLOTTE, NC 28213-4727
(919) 624-9954

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13113
NC
101YP2500X
Professional Counselor
Primary
13113
NC

Other

Enumeration date
07/10/2017
Last updated
03/21/2022
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