Individual
MRS. DORIS BIENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3623 LATROBE DR STE 107, CHARLOTTE, NC 28211-1187
(704) 663-4344
Mailing address
1860 MONTAGUE RD, LAKE WYLIE, SC 29710-9163
(803) 831-9146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3289
NC
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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