Individual
AGATHA CHRISTIE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
9700 RESEARCH DR, SUITE 128, CHARLOTTE, NC 28262-8552
(704) 313-9246
(855) 289-0619
Mailing address
PO BOX 369, NEWELL, NC 28126-0369
(704) 313-9246
(855) 289-0619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8109
NC
101YM0800X
Mental Health Counselor
8109
NC
101YP2500X
Professional Counselor
8109
NC
Other
Enumeration date
11/08/2012
Last updated
09/05/2014
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