Individual provider · Type 1 NPI

John K. Tisdale, D.MIN.

Professional Counselor · Chapel Hill, NC

NPI number 1114119039 Active

Practice location

101 Cloister Ct, Suite F
Chapel Hill, NC 27514-2207

Fax (919) 408-3306

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2496 (NC)

Professional Counselor: Definition to come...

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About NPI 1114119039

John K. Tisdale, D.MIN.'s National Provider Identifier is 1114119039, issued on Aug 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chapel Hill, NC. The record was last updated on Aug 14, 2007.