Individual
ALYSSA STORM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
Mailing address
2830 BERRY CREEK RD # 3F, CHARLOTTE, NC 28214-3320
(919) 610-7461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16732
NC
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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