Individual
CHARLES WILLIAM BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, RN
Contact information
Practice address
302 FULCHER LANDING RD, SNEADS FERRY, NC 28460-6560
(910) 358-5126
Mailing address
302 FULCHER LANDING RD, SNEADS FERRY, NC 28460-6560
(910) 358-5126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
611
NC
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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