Individual
ANN CLAY CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7804 FAIRVIEW RD STE C288, CHARLOTTE, NC 28226-4998
(980) 285-3952
Mailing address
7804 FAIRVIEW RD STE C288, CHARLOTTE, NC 28226-4998
(980) 295-3952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12542
NC
Other
Enumeration date
02/16/2018
Last updated
08/13/2019
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