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Individual

RENEISHA LACHELLE BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
8119 SOLACE CT, CHARLOTTE, NC 28269-3214
(704) 577-1135
Mailing address
8119 SOLACE CT, CHARLOTTE, NC 28269-3214
(704) 577-1135

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14097
NC

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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