Individual provider · Type 1 NPI

Douglas Phares, LPCA, M.A.

Mental Health Counselor · Kannapolis, NC

NPI number 1497110464 Active

Practice location

119 West Ave
Kannapolis, NC 28081-4332

Call (704) 630-6634 Map

Fax (866) 828-5520

Mailing address

5318 Colonial Garden Dr
Huntersville, NC 28078-1200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XA12097 (NC)
Mental Health Counselor Primary 101YM0800XA12097 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1497110464

Douglas Phares, LPCA, M.A.'s National Provider Identifier is 1497110464, issued on Dec 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kannapolis, NC. The record was last updated on Dec 17, 2015.