Individual
MRS. BRONAH MILLER LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1501 QUEENS RD, CHARLOTTE, NC 28207-2503
(704) 295-4802
(704) 376-0423
Mailing address
1501 QUEENS RD, CHARLOTTE, NC 28207-2503
(704) 295-4802
(704) 376-0423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7960
NC
Other
Enumeration date
07/03/2010
Last updated
07/03/2010
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