Individual
CHARESSA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 WESTLAKE RD STE 102, FAYETTEVILLE, NC 28314-4871
(910) 224-7159
(910) 676-7334
Mailing address
100 WESTLAKE RD STE 102, FAYETTEVILLE, NC 28314-4871
(910) 224-7159
(910) 676-7334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010212
NC
Other
Enumeration date
06/25/2014
Last updated
05/21/2020
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