Aspasia Ralli-Koukoutsis, MS
Counselor, Mental Health in Waxhaw, NC. Individual provider (NPI-1).
NPI number1861678377
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1861678377
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Aspasia Ralli-Koukoutsis
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2008
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | S7444 | NC | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
9929 Rea Rd Ste 201Waxhaw, NC 28173-6439
Phone 704-316-1650 · Fax 704-316-1651
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-316-1650 · Fax 704-316-1651
Other practice locations
1816 Therrell Farms Rd
Waxhaw, NC 28173-7373
Waxhaw, NC 28173-7373
Phone 336-749-2659
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