Individual
CHARLOTTE KAY TRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-5884
Mailing address
1611B OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 483-5884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14195
NC
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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