Individual
MS. BONITA GRISSETTE HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC-S, LCAS
Contact information
Practice address
5200 PARK RD STE 218, CHARLOTTE, NC 28209-3673
(980) 533-5839
(980) 939-6423
Mailing address
5009 BEATTIES FORD RD STE 107-233, CHARLOTTE, NC 28216-2859
(980) 533-5839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2313
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
RA8620417
CA
101YM0800X
Mental Health Counselor
7953
NC
101YP2500X
Professional Counselor
Primary
S7953
NC
Other
Enumeration date
11/21/2008
Last updated
04/26/2021
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