Individual provider · Type 1 NPI
Candice Vida Coulter, LPC, NCC
Professional Counselor · Waxhaw, NC
NPI number
1881152403
Active
Practice location
9929 Rea Rd, Ste 201
Waxhaw, NC 28173
Fax (704) 316-1651
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice locations
- 9929 Rea Road, #201, Charlotte, NC 28173 · (704) 316-1650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11636 (NC) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1881152403
Candice Vida Coulter, LPC, NCC's National Provider Identifier is 1881152403, issued on Mar 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waxhaw, NC. The record was last updated on Oct 26, 2020.