Christopher Kyle Tietsort, Qualified Profession
Counselor, Mental Health in Gastonia, NC. Individual provider (NPI-1).
NPI number1265612428
StatusActive
Last updated in NPPESNov 5, 2007
Details
- NPI
- 1265612428
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Kyle Tietsort
- Credential
- Qualified Profession
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2007
- Last updated
- Nov 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
543 Cox RdSuite D-4,5
Gastonia, NC 28054-0607
Phone 704-865-7818 · Fax 704-866-4984
Mailing address
Po Box 550614Gastonia, NC 28055-0614
Phone 704-301-2099 · Fax 704-866-4984
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