Provider Demographics
NPI:1982748604
Name:MCQUAID, CHARLOTTE LYNN (LPC)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:LYNN
Last Name:MCQUAID
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 LEONORA DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-8935
Mailing Address - Country:US
Mailing Address - Phone:864-921-1403
Mailing Address - Fax:704-484-0090
Practice Address - Street 1:123 W MARION ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5381
Practice Address - Country:US
Practice Address - Phone:704-484-2100
Practice Address - Fax:704-484-0090
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional