Individual
JEREMY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2903 N DAVIDSON ST STE 1021, CHARLOTTE, NC 28205-1097
(704) 798-2430
Mailing address
2903 N DAVIDSON ST STE 1021, CHARLOTTE, NC 28205-1097
(704) 798-2430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14872
NC
Other
Enumeration date
06/26/2019
Last updated
06/10/2022
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