Individual
LEE AARON SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 S CHESTNUT ST, GASTONIA, NC 28054-4548
(704) 865-3525
Mailing address
702 S LEE ST, GASTONIA, NC 28052-4016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11926
NC
Other
Enumeration date
11/11/2015
Last updated
04/06/2022
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