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Individual

COREY SCOTT CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.MIN, MTS, LCMHC

Contact information

Practice address
7401 CARMEL EXECUTIVE PARK DR STE 210, CHARLOTTE, NC 28226-0406
(704) 752-8414
Mailing address
7401 CARMEL EXECUTIVE PARK DR STE 210, CHARLOTTE, NC 28226-0406
(704) 752-8414

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11453
NC

Other

Enumeration date
03/08/2024
Last updated
03/08/2024
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