Individual
CHRISTA IMAN MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5821 FAIRVIEW RD STE 101, CHARLOTTE, NC 28209-5601
(980) 308-4500
Mailing address
10150 MALLARD CREEK RD STE 509, CHARLOTTE, NC 28262-9708
(980) 308-4500
(980) 458-6037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018637
NC
Other
Enumeration date
01/24/2023
Last updated
11/24/2025
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