Individual provider · Type 1 NPI

Delia Vicidomini, LCMHCA

Professional Counselor · Mooresville, NC

NPI number 1114518446 Active

Practice location

311 Williamson Rd Ste 103
Mooresville, NC 28117-5967

Call (704) 360-3049 Map

Mailing address

6155 Olde Fields Way
Pfafftown, NC 27040-8223

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA16323 (NC)

Professional Counselor: Definition to come...

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About NPI 1114518446

Delia Vicidomini, LCMHCA's National Provider Identifier is 1114518446, issued on Jan 29, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mooresville, NC. The record was last updated on Jan 29, 2021.