Organization
A NEW LEAF CONSULTING & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELL FOWLER NEWTON MA, EDD (OWNER/THERAPIST)
(980) 477-0334
Entity
Organization
Contact information
Practice address
1675 CALLAHAN RD, FORT MILL, SC 29715-7608
(864) 266-4280
Mailing address
15105D JOHN J DELANEY DR # 247, CHARLOTTE, NC 28277-2741
(980) 477-0334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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