Individual
JESSICA RAE ANNUNZIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
10430 PARK RD, CHARLOTTE, NC 28210-8540
(704) 281-1754
Mailing address
10430 PARK RD STE 200, CHARLOTTE, NC 28210-8541
(704) 281-1754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19239
NC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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