Individual provider · Type 1 NPI

John A. Basilice, LCMHC

Mental Health Counselor · Concord, NC

NPI number 1265690036 Active

Practice location

363 Church St N Ste 260
Concord, NC 28025-4525

Call (980) 263-9065 Map

Mailing address

6627 Burkwood Ct
Harrisburg, NC 28075-6713

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2465 (NC)
Professional Counselor 101YP2500X2465 (NC)
Mental Health Counselor Primary 101YM0800X2465 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1265690036

John A. Basilice, LCMHC's National Provider Identifier is 1265690036, issued on May 29, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Nov 20, 2024.