Individual
ASHLEY-LAREN ADRENE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4412 PARK RD, CHARLOTTE, NC 28209-3130
(980) 581-3061
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16405
NC
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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