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Individual

DIANA MICHELLE PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 369-2502
(704) 688-2960
Mailing address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 287-4144
(704) 688-2960

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4940
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102700
NC
Enumeration date
09/15/2006
Last updated
09/24/2012
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