Individual
MELISSA DIANE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LCMHCS
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
(704) 376-3384
Mailing address
6643 ZIEGLER LN, CHARLOTTE, NC 28269-3186
(980) 335-7587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1756
NC
101YM0800X
Mental Health Counselor
S9254
NC
101YP2500X
Professional Counselor
S9254
NC
Other
Enumeration date
02/17/2011
Last updated
01/25/2022
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