Organization
KINGSLEY ROAD COUNSELING AND CONSULTING GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN CLAY CHURCH (OWNER)
(980) 285-3952
Entity
Organization
Contact information
Practice address
6747 FAIRVIEW RD STE C, CHARLOTTE, NC 28210-3359
(980) 285-3952
Mailing address
3431 SELWYN FARMS LN, CHARLOTTE, NC 28209-4030
(980) 285-3952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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