Individual
MS. ALEXANDRIA WIDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
(704) 531-9266
Mailing address
722 E UNION ST, MARSHVILLE, NC 28103-1246
(276) 206-4132
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A17915
NC
101YP2500X
Professional Counselor
Primary
A17915
NC
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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