Individual
LYNNE MARIE GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LPC
Contact information
Practice address
3233 PARK RD APT J, CHARLOTTE, NC 28209-2086
(704) 860-6793
Mailing address
3233 PARK RD APT J, CHARLOTTE, NC 28209-2086
(704) 860-6793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1705
NC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112206
—
NC
Enumeration date
10/29/2010
Last updated
04/04/2011
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