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Individual
CHARLES MAYO
Active
Individual
CHARLES MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCP, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1506
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-400
WY
101YM0800X
Mental Health Counselor
LPC-2099
WY
101YM0800X
Mental Health Counselor
Primary
LPC6411
LA
Other
Enumeration date
12/10/2014
Last updated
11/03/2022
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