Organization · Type 2 NPI
Gantt Psychotherapeutic and Consultation Services
Professional Counselor · Charlotte, NC
NPI number
1750593281
Active
Practice location
10234 Kelso Ct
Charlotte, NC 28278-6637
Fax (704) 583-0672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4417 (NC) |
| Professional Counselor | 101YP2500X | 4620 (SC) |
| Community/Behavioral Health Agency | 251S00000X | 4417 (NC) |
Professional Counselor: Definition to come...
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About NPI 1750593281
Gantt Psychotherapeutic and Consultation Services's National Provider Identifier is 1750593281, issued on May 4, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Jan 2, 2008.