Individual
COURTNEY MARIE WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
5970 FAIRVIEW RD STE 110, CHARLOTTE, NC 28210-3491
(919) 701-2274
Mailing address
5970 FAIRVIEW RD STE 110, CHARLOTTE, NC 28210-3491
(919) 701-2274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20173
NC
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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