OLIVE BEAR BLACKWOOD

CHARLOTTE, NC
NPI1891550315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: NC  10427A)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
103TA0700X Psychologist, Adult Development & Aging
103TF0000X Psychologist, Family
Enumeration Date2024-02-14
Last Update Date2024-08-02
Business Address
OLIVE BEAR BLACKWOOD LMFTA
811 CENTRAL AVE
CHARLOTTE, NC 28204-2032
Phone number: 980-236-0734
Mailing Address
OLIVE BEAR BLACKWOOD LMFTA
PO BOX 77964
CHARLOTTE, NC 28271-7022
Phone number: