Individual
MR. GEORGE CANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5855 EXECUTIVE CENTER DR, SUITE 111, CHARLOTTE, NC 28212-8883
(704) 537-1289
Mailing address
5855 EXECUTIVE CENTER DR, SUITE 111, CHARLOTTE, NC 28212-8883
(704) 537-1289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9256
NC
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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