Individual
ASHLEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
10030 PARK CEDAR DR, 200, CHARLOTTE, NC 28210-8918
(704) 751-7775
Mailing address
10030 PARK CEDAR DR, 200, CHARLOTTE, NC 28210-8918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11605
NC
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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