Individual
MEREDITH S. GWALTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT-A
Contact information
Practice address
4059 HOULDSWORTH DR, CHARLOTTE, NC 28213-5786
(252) 573-9188
Mailing address
4059 HOULDSWORTH DR, CHARLOTTE, NC 28213-5786
(252) 573-9188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12074A
NC
101YP2500X
Professional Counselor
12074A
NC
106H00000X
Marriage & Family Therapist
Primary
12074A
NC
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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