Individual
ADRIENNE BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
324 N MCDOWELL ST STE 200, CHARLOTTE, NC 28204-2222
(704) 384-6478
(704) 384-8220
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-0478
(704) 384-8220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012482
NC
Other
Enumeration date
07/01/2020
Last updated
10/27/2020
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