Organization · Type 2 NPI
Sportssmarts
Professional Counselor · Charlotte, NC
NPI number
1861778102
Active
Practice location
4401 E Independence Blvd, Suite 201B
Charlotte, NC 28205-7485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
| Exercise & Sports Psychologist | 103TE1100X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1861778102
Sportssmarts's National Provider Identifier is 1861778102, issued on Nov 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Nov 1, 2011.