Individual provider · NPI-1

Megan Jade Agee

Psychologist, Clinical · Charlotte, NC

NPI number1124663869
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1124663869
Entity type
Individual (NPI-1)
Name
Megan Jade Agee
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2019
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical5799NCYes
101YM0800X Counselor, Mental Health––

Practice location

5970 Fairview Rd Ste 420
Charlotte, NC 28210-3167

Phone 980-701-4190

Mailing address

4809 Shadow Moss Ct
Charlotte, NC 28227-1245

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