Individual
AMY LEIGH MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2301 W MOREHEAD ST, SUITE B, CHARLOTTE, NC 28208-5271
(704) 497-0824
Mailing address
2301 W MOREHEAD ST, SUITE B, CHARLOTTE, NC 28208-5271
(704) 497-0824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103263
—
NC
Enumeration date
01/17/2007
Last updated
08/08/2012
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