Individual
DR. CYNTHIA VASILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD. NCC LCMHS BC-TH
Contact information
Practice address
2922 AUDREY DR, GASTONIA, NC 28054-7268
(704) 709-1147
(980) 495-8940
Mailing address
1963 EASTWAY DR, DALLAS, NC 28034-9570
(704) 709-1147
(980) 495-8940
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4797
SC
101YP2500X
Professional Counselor
Primary
9124
NC
Other
Enumeration date
10/28/2014
Last updated
05/19/2022
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