Most Relevant Information
Provider Data
| NPI Number: | 1003500471 |
| Provider Name: | SARAH VIRGINIA LUPKA MAC, PLPC, LCMHC-A |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2023023586 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
7301 CARMEL EXECUTIVE PARK DR STE 200
CHARLOTTE
NC
282264207
Practice Location Phone/Fax
| Phone: | 9808004323 |
| Fax: |
Provider Mailing Location
7301 CARMEL EXECUTIVE PARK DR STE 200
CHARLOTTE
NC
282264207
Provider Mailing Phone/Fax
| Phone: | 9808004323 |
| Fax: |