Individual provider · Type 1 NPI

Christopher Kyle Tietsort, QUALIFIED PROFESSION

Mental Health Counselor · Gastonia, NC

NPI number 1265612428 Active

Practice location

543 Cox Rd, Suite D-4,5
Gastonia, NC 28054-0607

Call (704) 865-7818 Map

Fax (704) 866-4984

Mailing address

PO Box 550614
Gastonia, NC 28055-0614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265612428

Christopher Kyle Tietsort, QUALIFIED PROFESSION's National Provider Identifier is 1265612428, issued on Nov 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gastonia, NC. The record was last updated on Nov 5, 2007.