Individual
MR. JONATHAN ERIC THULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPC-A
Contact information
Practice address
5200 PARK RD STE 236, CHARLOTTE, NC 28209-3669
(704) 594-1311
Mailing address
5200 PARK RD STE 236, CHARLOTTE, NC 28209-3669
(704) 594-1311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9544
NC
Other
Enumeration date
09/13/2012
Last updated
02/21/2015
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