Provider Information for 1548834658
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MARNDA NICOLE LEVERETTE LCMHC-A
Sex: Female
NPI: 1548834658
Last Updated: 2023-01-13
Certification Date: 2023-01-13
Certification Date: 2023-01-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548834658 | ||||||||
| Enumeration Date | 2021-05-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 8879 ASHEVILLE, NC 28814-8879 United States Phone: 828-329-7264 | Fax: | ||||||||
| Primary Practice Address | 284 EXECUTIVE PARK DR STE 100 CONCORD, NC 28025-1833 United States Phone: 704-939-1100 | Fax:704-939-1173 | ||||||||
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