Individual
ANGELA HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11220 ELM LN STE 203, CHARLOTTE, NC 28277-0450
(704) 412-9822
Mailing address
13803 DALTREY LN, CHARLOTTE, NC 28277-2373
(704) 412-9822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14975
NC
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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