Individual
MS. CHARITY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Mailing address
PO BOX 4962, MOORESVILLE, NC 28117-4962
(704) 360-3637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14509
NC
Other
Enumeration date
01/27/2019
Last updated
01/08/2024
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