Individual
MR. GERALD EVARISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
1935 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4542
(704) 334-3170
Mailing address
1010 W TRADE ST APT 455, CHARLOTTE, NC 28202-3376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16758
NC
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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