Individual
LANTRIANNE E WORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2315 E WT HARRIS BLVD STE 102, CHARLOTTE, NC 28213-5133
(704) 208-4458
(866) 309-6385
Mailing address
1610 HUDSON GRAHAM LN, CHARLOTTE, NC 28216-1009
(371) 354-3167
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16431
NC
101YS0200X
School Counselor
39001995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
05/26/2006
Last updated
02/16/2022
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