Individual
MR. CHARLES JAMES WENTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCMHCS, LPC
Contact information
Practice address
601 LAUCHWOOD DR, SUITE B, LAURINBURG, NC 28352-5540
(910) 276-7011
(910) 276-7060
Mailing address
601 LAUCHWOOD DR STE B, LAURINBURG, NC 28352-5540
(910) 276-7011
(910) 276-7060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141Y3
BCBS
NC
01
—
186211
MEDCOST
NC
05
—
6103157
—
NC
Enumeration date
01/10/2007
Last updated
04/02/2024
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