Individual
IRIS WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LPC-I
Contact information
Practice address
13717 CINNABAR PL, HUNTERSVILLE, NC 28078-5342
(704) 962-1924
Mailing address
13717 CINNABAR PL, HUNTERSVILLE, NC 28078-5342
(704) 962-1924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10758
NC
101YM0800X
Mental Health Counselor
6216
SC
Other
Enumeration date
06/19/2014
Last updated
12/17/2017
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