Individual
KRISTIN BOWLES ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
5113 PIPER STATION DR, SUITE 207, CHARLOTTE, NC 28277-6513
(704) 541-4242
Mailing address
2501 BELVEDERE AVE, CHARLOTTE, NC 28205-3660
(704) 780-7955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142WN
BLUE CROSS BLUE SHIELF
NC
05
—
6103237
—
NC
Enumeration date
11/03/2006
Last updated
07/08/2007
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