Individual provider · Type 1 NPI

Alisa Kaye Gibson Richard, LCMHCA

Professional Counselor · Mooresville, NC

NPI number 1063997443 Active

Practice location

311 Williamson Rd Ste 103
Mooresville, NC 28117-5967

Call (704) 360-3049 Map

Mailing address

2116 Mcclintock Rd Unit 232
Charlotte, NC 28205-5159

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA14341 (NC)
Counselor 101Y00000XA14341 (NC)

Professional Counselor: Definition to come...

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About NPI 1063997443

Alisa Kaye Gibson Richard, LCMHCA's National Provider Identifier is 1063997443, issued on Oct 1, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mooresville, NC. The record was last updated on Jan 24, 2022.