Individual provider · Type 1 NPI
Angela Denise Wilburn, LCMHC NCC
Professional Counselor · Charlotte, NC
NPI number
1619326436
Active
Practice location
515 Clanton Rd
Charlotte, NC 28217-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | A12117 (NC) |
| Professional Counselor Primary | 101YP2500X | A12117 (NC) |
Professional Counselor: Definition to come...
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About NPI 1619326436
Angela Denise Wilburn, LCMHC NCC's National Provider Identifier is 1619326436, issued on Jun 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Nov 2, 2021.