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Organization

COGNITIVE FOOTPRINTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA PARKER LCMHC (DIRECTOR/FOUNDER)
(704) 919-0161
Entity
Organization

Contact information

Practice address
RESIDENCE, 7715 ARAGORN LANE, CHARLOTTE, NC 28212
(910) 726-5252
Mailing address
RESIDENCE, 7715 ARAGORN LANE, CHARLOTTE, NC 28212
(910) 726-5252

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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