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Individual

ALEXIS BRIANNA LOWE SURRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, LCASA

Contact information

Practice address
845 CHURCH ST N STE 203, CONCORD, NC 28025-4374
(704) 316-5027
(704) 316-5028
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16075
NC
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/10/2020
Last updated
04/16/2024
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