MRS. Andrea Boulware, LCMHCA

NPI #1003520057 in Charlotte, North Carolina

Provider Information

NPI Number
1003520057
Entity Type
Individual
Name
MRS. Andrea Boulware, LCMHCA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCMHCA
Enumeration Date
Jan 12, 2023
Last Updated
Jan 12, 2023

Practice Location

Address
7300 CARMEL EXECUTIVE PARK DR STE 115
ZIP Code
28226-1310
Phone
(980) 243-3646

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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