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1609433291
LIFE INTERRUPTED COUNSELING SERVICES
CHARLOTTE, NC
NPI
1609433291
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Entity Type
Organization
Authorized Contact
KESHIA DONUEL KEITH
Owner
980-404-1069
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-20
Last Update Date
2019-06-11
Business Address
LIFE INTERRUPTED COUNSELING SERVICES
4045 N TRYON ST STE A
CHARLOTTE, NC 28206
Phone number: 980-404-1069
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Mailing Address
LIFE INTERRUPTED COUNSELING SERVICES
516 HIGHLAND RIDGE PT
CLOVER, SC 29710-5507
Phone number: 980-322-3466
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