Individual
MARY JEAN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4521 BEATY RD, GASTONIA, NC 28056-8337
(704) 237-0236
(704) 675-7317
Mailing address
4521 BEATY RD, GASTONIA, NC 28056-8337
(704) 237-0236
(704) 675-7317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11232
NC
101YM0800X
Mental Health Counselor
11232
NC
101YP2500X
Professional Counselor
11232
NC
Other
Enumeration date
12/09/2014
Last updated
11/13/2025
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