Individual
MR. CHARLES NATHANIEL LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
707 S GRADY WAY STE 300, RENTON, WA 98057-3245
(888) 998-6423
Mailing address
707 S GRADY WAY STE 300, RENTON, WA 98057-3245
(888) 998-6423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61265382
WA
Other
Enumeration date
06/06/2022
Last updated
04/17/2025
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