Individual provider · Type 1 NPI
Patrick Sal Ide, MA, LPCA
Mental Health Counselor · Winston Salem, NC
NPI number
1174022966
Active
Practice location
1922 S Martin Luther King Jr Dr Ste 255
Winston Salem, NC 27107-1361
Mailing address
12884 S Frontrunner Blvd Ste 140
Draper, UT 84020-5488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1174022966
Patrick Sal Ide, MA, LPCA's National Provider Identifier is 1174022966, issued on Feb 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 16, 2022.