Individual
MR. KYLE DAVID WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
7615 COLONY RD STE 200, CHARLOTTE, NC 28226-0007
(704) 365-4545
Mailing address
7615 COLONY RD STE 200, CHARLOTTE, NC 28226-0007
(704) 365-4545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14438
NC
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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