Organization
CHARLOTTE COUNSELING AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA A MOSER-BURG MHS, LPC (SOLE PROPRIETOR)
(704) 256-4893
Entity
Organization
Contact information
Practice address
1811 SARDIS RD N STE 207, CHARLOTTE, NC 28270-3000
(757) 285-0565
(704) 256-4893
Mailing address
1211 APPLEGATE PKWY, WAXHAW, NC 28173-6726
(704) 256-4893
(704) 256-4893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104058
—
NC
Enumeration date
05/05/2010
Last updated
05/05/2010
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