Individual
MR. CHRISTOPHER KYLE TIETSORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QUALIFIED PROFESSION
Contact information
Practice address
543 COX RD, SUITE D-4,5, GASTONIA, NC 28054-0607
(704) 865-7818
(704) 866-4984
Mailing address
PO BOX 550614, GASTONIA, NC 28055-0614
(704) 301-2099
(704) 866-4984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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