Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | NC | |
Y | 101YP2500X | Professional Counselor | 7874 | NC |
N | 101YS0200X | School Counselor | NC |
NPI | 1164727590 |
---|---|
Provider Name | Lynn Reed |
First Address | Charlotte, NC 28262-4554 |
Second Address | Charlotte, NC 28262-4554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2011 |
Last Update Date | 23/04/2013 |