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Organization

LIFESKILLS COUNSELING & CONSULTING GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATONYA MICHELLE MASON MA LPC (EXECUTIVE DIRECTOR)
(704) 548-5299
Entity
Organization

Contact information

Practice address
1973 JN PEASE PL, SUITE 102, CHARLOTTE, NC 28262-4547
(704) 548-5299
(704) 548-5292
Mailing address
1973 JN PEASE PL, SUITE 102, CHARLOTTE, NC 28262-4547
(704) 548-5299
(704) 548-5292

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4355
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6006661
NC
Enumeration date
02/25/2009
Last updated
02/01/2010
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