Individual
MRS. CARLEE COLLMUS HABICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
506 CAMPUS ST, CHARLOTTE, NC 28216-5308
(678) 899-2269
Mailing address
506 CAMPUS ST, CHARLOTTE, NC 28216-5308
(678) 899-2269
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86144416
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L006036
NORTH CAROLINA LICENSE
NC
Enumeration date
11/20/2019
Last updated
07/01/2024
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