Individual
CLAIRE HICKS GOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 E 7TH ST, CHARLOTTE, NC 28204-2416
(704) 313-9071
Mailing address
103 N EAST AVE, KANNAPOLIS, NC 28083-3520
(704) 860-3466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17875
NC
Other
Enumeration date
08/29/2018
Last updated
09/13/2022
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