Individual
ALIA FASOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 EAST BLVD, CHARLOTTE, NC 28203-5110
(980) 389-0619
Mailing address
508 EAST BLVD, CHARLOTTE, NC 28203-5110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22546
NC
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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