Individual
CHARLES B GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-8805
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15546
NC
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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