Individual
CONSTANCE COOK MELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
5200 PARK RD BLDG 1, CHARLOTTE, NC 28209-3650
(704) 968-5174
Mailing address
3623 SANDALWOOD LN, WAXHAW, NC 28173-8806
(704) 968-5174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
617
NC
Other
Enumeration date
08/12/2018
Last updated
08/12/2018
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