Individual
MRS. CODY WOOTTEN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
6809 FAIRVIEW RD STE 20, CHARLOTTE, NC 28210-4195
(980) 422-6865
Mailing address
6809 FAIRVIEW RD STE 20, CHARLOTTE, NC 28210-4195
(980) 422-6865
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12285A
NC
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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