Individual
REBECCA JEAN PRYOR SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
328 WHIPPOORWILL LN, MT HOLLY, NC 28120-9765
(704) 827-3788
Mailing address
1313 S KINGS DR, CHARLOTTE, NC 28207-2133
(703) 477-4922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A18314
NC
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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