Individual
CYRENA BISHOP WOOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11917 SHANDON CIR, CHARLOTTE, NC 28226-3820
(980) 613-4744
Mailing address
11917 SHANDON CIR, CHARLOTTE, NC 28226-3820
(980) 613-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A15805
NC
101YP2500X
Professional Counselor
Primary
A15805
NC
Other
Enumeration date
08/11/2021
Last updated
10/25/2021
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