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Individual

CHARLES J GENTZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHCA

Contact information

Practice address
130 IOWA LN STE 103&104, CARY, NC 27511-4494
(919) 585-5085
Mailing address
130 IOWA LN STE 103&104, CARY, NC 27511-4494
(919) 585-5085

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16966
NC

Other

Enumeration date
02/21/2022
Last updated
02/21/2022
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