Individual
MIRIAM P. BUNDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC, CEAP
Contact information
Practice address
5200 PARK RD, SUITE 119, CHARLOTTE, NC 28209-3650
(704) 527-5300
(704) 527-5302
Mailing address
5200 PARK RD, SUITE 119, CHARLOTTE, NC 28209-3650
(704) 527-5300
(704) 527-5302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2417
NC
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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