| Elizabeth E. Correll, Ma Pllc | |
|
206 Joe V Knox Ave Ste F Mooresville NC 28117-7912 | |
| (704) 754-2050 | |
| (704) 662-6503 |
| Full Name | Elizabeth E. Correll, Ma Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 206 Joe V Knox Ave Ste F, Mooresville, North Carolina |
| Authorized Official Name and Position | Elizabeth Echeverria Correll (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 7047542050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth E. Correll, Ma Pllc 206 Joe V Knox Ave Ste F Mooresville NC 28117-7912 Ph: (704) 754-2050 | Elizabeth E. Correll, Ma Pllc 206 Joe V Knox Ave Ste F Mooresville NC 28117-7912 Ph: (704) 754-2050 |
| NPI Number | 1245549963 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245549963 | NPI | - | NPPES |
| 6105136 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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