Individual
CHARLENE D DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5200 PARK RD, CHARLOTTE, NC 28209
(866) 700-1606
(866) 388-5921
Mailing address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
(866) 338-5921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
01/06/2010
Last updated
05/24/2018
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