Individual
ALICIA SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3626 LATROBE DR, CHARLOTTE, NC 28211-1388
(704) 215-4538
Mailing address
3626 LATROBE DR, CHARLOTTE, NC 28211-1388
(704) 215-5438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9447
NC
101YP2500X
Professional Counselor
Primary
9447
NC
Other
Enumeration date
06/03/2014
Last updated
04/10/2020
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