Most Relevant Information
Provider Data
| NPI Number: | 1003574195 |
| Provider Name: | ALICIA NEWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 12352A |
Most Important Dates
| Enumeration Date: | 12/06/2021 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
6347 ST PETERS CHURCH RD
CONOVER
NC
286138862
Practice Location Phone/Fax
| Phone: | 7048273788 |
| Fax: |
Provider Mailing Location
6347 ST PETERS CHURCH RD
CONOVER
NC
286138862
Provider Mailing Phone/Fax
| Phone: | 7048273788 |
| Fax: |