Individual
MR. WILLIE LEE DYKES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCASA-28130
Contact information
Practice address
4921 ALBEMARLE RD STE 108, CHARLOTTE, NC 28205-6654
(980) 413-6757
Mailing address
4921 ALBEMARLE RD STE 108, CHARLOTTE, NC 28205-6654
(980) 413-6757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28130
NC
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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