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Individual

MS. ELIZABETH ECHEVERRIA CORRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
206 JOE KNOX AVE, UNIT F, MOORESVILLE, NC 28117
(704) 754-2050
Mailing address
206 JOE KNOX AVE, UNIT F, MOORESVILLE, NC 28117
(704) 754-2050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
900
NC
106H00000X
Marriage & Family Therapist
888
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105136
NC
Enumeration date
02/28/2007
Last updated
01/27/2010
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