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Individual

CHRISTI SAMANTHA BRUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6135 PARK SOUTH DR STE 105, CHARLOTTE, NC 28210-3272
(704) 810-2700
Mailing address
1303 GREENSBORO STREET EXT, LEXINGTON, NC 27295-1924
(336) 249-0237
(336) 243-7685

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10969
NC
101YP2500X
Professional Counselor
10969
NC

Other

Enumeration date
12/01/2014
Last updated
08/13/2025
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