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Individual
CHEVELLE HYTOWER
Active
Individual
CHEVELLE HYTOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2503
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2503
NC
101YP2500X
Professional Counselor
2503
NC
103K00000X
Behavior Analyst
2503
NC
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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