Individual provider · Type 1 NPI
Michael Damoth, LCAS, LPC
Mental Health Counselor · Atenas, CR
NPI number
1275810244
Active · reactivated Nov 13, 2019
Practice location
New Summit Academy, Barrio Faitima
Atenas, CR 20501
Mailing address
5268 Blue Ridge Blvd
Blue Ridge, VA 24064-1833
Other practice locations
- 2808 S Croatan Hwy, Suite B, Nags Head, NC 27959-9024 · (252) 441-2324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9143 (NC) |
Mental Health Counselor: Definition to come...
About NPI 1275810244
Michael Damoth, LCAS, LPC's National Provider Identifier is 1275810244, issued on Nov 4, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atenas, CR. The record was last updated on Nov 13, 2019.