Individual
DYLAN CHRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 5TH AVE W, HENDERSONVILLE, NC 28739-4101
(828) 301-4622
Mailing address
22 HENSLEY DR, ASHEVILLE, NC 28805-9773
(828) 434-6306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20468
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/17/2021
Last updated
08/26/2024
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