Individual
JEREMY MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
8801 J M KEYNES DR, SUITE 440, CHARLOTTE, NC 28262-8436
(704) 537-9551
Mailing address
1531 MEADOW GLEN LN, ROCK HILL, SC 29730-7486
(803) 616-6587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A11042
NC
101YP2500X
Professional Counselor
Primary
A11042
NC
Other
Enumeration date
10/28/2014
Last updated
08/24/2020
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