| NPI | 1023416880 |
|---|---|
| Professional Name | CHARLES D MAYO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA LPC6411) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-400) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1506) | |
| 101YM0800X Counselor, Mental Health (Licence: WY LPC-2099) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-11-03 |