Individual
STEPHANIE GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
933 LOUISE AVE STE 226, CHARLOTTE, NC 28204-2147
(980) 292-5350
Mailing address
933 LOUISE AVE STE 226, CHARLOTTE, NC 28204-2147
(980) 292-5350
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12366A
NC
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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