person
Sandra Lourdes Mayta, LCMHC,NCC
Mental Health Counselor in Statesville, North Carolina
NPI 1730714163

Sandra Lourdes Mayta is a Mental Health Counselor based in Huntersville, NC and is specialized in Mental Health. Sandra Lourdes Mayta practices in Statesville, NC and has the professional credentials of LCMHC,NCC. The NPI Number for Sandra Lourdes Mayta is 1730714163 and holds a License No. 15608 (North Carolina).

The current practice location address for Sandra Lourdes Mayta is 1450 Fern Creek Drive, Statesville, NC and can be reached out via phone at 704-237-4240 and via fax at 704-821-0844.

Location: 1450 Fern Creek Drive, Statesville, NC, 28078-2241
person
Provider Profile Details
NPI Number
1730714163
Provider Name
Sandra Lourdes Mayta
Credential
LCMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
1450 Fern Creek Drive, Statesville, NC, 28078-2241
Phone Number
704-237-4240
Fax Number
704-821-0844
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 Fern Creek Drive
City
State
Zip
28625
Phone Number
704-237-4240
Fax Number
704-821-0844
person
Provider Business Mailing Address Details
Address
1450 Fern Creek Drive
City
State
Zip
28625
Phone Number
704-237-4240
Fax Number
704-821-0844
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15608 (North Carolina)
Definition
Definition to come...
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