Individual
REA LYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HIDDENITE CHURCH RD, HIDDENITE, NC 28636-8168
(704) 880-1202
(828) 471-3318
Mailing address
808 BIRCHCREST DR, STATESVILLE, NC 28677-3188
(704) 880-1202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A18440
NC
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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