Individual
TENESHIA LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1300 BAXTER ST STE 421, CHARLOTTE, NC 28204-3026
(704) 995-0342
Mailing address
7745 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-2442
(832) 515-0494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12300A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12300A
NCLMFTB
NC
Enumeration date
05/24/2021
Last updated
05/24/2021
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