Individual
VIA-TONDA E. BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
625 E 2ND AVE STE 10, GASTONIA, NC 28054-0470
(704) 629-8210
Mailing address
PO BOX 591, GASTONIA, NC 28053-0591
(704) 629-8210
(866) 441-0992
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
12119A
NC
106H00000X
Marriage & Family Therapist
Primary
2155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12119A
LICENSE
NC
01
—
2155
LICENSE
NC
Enumeration date
02/22/2019
Last updated
01/06/2022
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