Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 7621 | NC |
N | 225C00000X | Rehabilitation Counselor | 00090615 | NC |
NPI | 1073842480 |
---|---|
Provider Name | Ms. Tysha Pressley |
First Address | Charlotte, NC 28215-9408 |
Second Address | Charlotte, NC 28215-9408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2009 |
Last Update Date | 29/09/2020 |