Individual
ADA SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 N MAIN ST STE B, MOORESVILLE, NC 28115-2355
(704) 660-6854
(704) 662-0866
Mailing address
341 KIMMSWICK RD, CHARLOTTE, NC 28214-1247
(704) 906-5535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A13589
NC
101YP2500X
Professional Counselor
Primary
A13589
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000039190868
DRIVERS LICENSE
NC
Enumeration date
01/15/2018
Last updated
02/27/2022
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