Individual
MELBA EUNICE CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC-S
Contact information
Practice address
1 BUFFALO AVE NW STE 213, CONCORD, NC 28025-4005
(980) 781-0251
(980) 223-5001
Mailing address
PO BOX 1704, CONCORD, NC 28026-1704
(704) 490-6667
(980) 223-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S8327
NC
101YP2500X
Professional Counselor
Primary
8327
NC
101YP2500X
Professional Counselor
S8327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275095761
—
NC
Enumeration date
02/22/2011
Last updated
11/04/2022
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