Individual
FLAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS #643
Contact information
Practice address
3815 N TRYON ST, CHARLOTTE, NC 28206-2060
(704) 372-8809
(704) 376-0113
Mailing address
3815 N TRYON ST, CHARLOTTE, NC 28206-2060
(704) 372-8809
(704) 376-0113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
643
NC
101YP2500X
Professional Counselor
111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21286
—
NC
Enumeration date
04/18/2019
Last updated
04/18/2019
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