Individual
IRA BURTON CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
2608 E 7TH ST, STE B, CHARLOTTE, NC 28204-4375
(704) 403-2626
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
772
NC
Other
Enumeration date
09/01/2010
Last updated
07/15/2024
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