Individual
CLARA KENNEDY WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPCA
Contact information
Practice address
7700 IRWIN RD, CHARLOTTE, NC 28215-7417
(704) 264-4763
Mailing address
7700 IRWIN RD, CHARLOTTE, NC 28215-7417
(704) 264-4763
(704) 264-4763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10314
SC
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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