| NPI | 1578951109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SMITH PRUETT Secretary/Treasurer 704-651-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 15) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NC 2004) |
| 101YP1600X Counselor, Pastoral (Licence: NC 4663) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2017-02-17 |