Individual
MISS MICHELLE ANGELIC TYNDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA, NCC, LCAS-
Contact information
Practice address
720 EAST BLVD, CHARLOTTE, NC 28203-5114
(704) 355-5021
Mailing address
720 EAST BLVD, CHARLOTTE, NC 28203-5114
(704) 355-5021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000
NC
101YP2500X
Professional Counselor
Primary
A8494
NC
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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