Individual
AMA OWUSUAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
360 N CASWELL RD, CHARLOTTE, NC 28204-2442
(704) 534-5433
Mailing address
360 N CASWELL RD, CHARLOTTE, NC 28204-2442
(704) 534-5433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8951
NC
Other
Enumeration date
09/10/2013
Last updated
04/05/2015
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