Individual
ADRIENNE CHARLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
5878 FARINGDON PL, STE 11B, RALEIGH, NC 27609-4589
(919) 346-4617
Mailing address
PO BOX 2372, GARNER, NC 27529-2372
(919) 346-4619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4299
NC
103TC0700X
Clinical Psychologist
Primary
4299
NC
103TC1900X
Counseling Psychologist
4299
NC
Other
Enumeration date
08/13/2012
Last updated
05/06/2019
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