Individual provider · Type 1 NPI

Brian Distaso, LCMHC

Mental Health Counselor · Matthews, NC

NPI number 1528890704 Active

Practice location

855 Sam Newell Rd Ste 100
Matthews, NC 28105-7593

Call (704) 360-3637 Map

Mailing address

6016 Storehouse Rd
Mint Hill, NC 28227-9294

Other practice locations

  • 4732 Lebanon Rd Ste C, Mint Hill, NC 28227-9112 · (980) 298-7302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X17591 (NC)
Professional Counselor 101YP2500X17591 (NC)

Mental Health Counselor: Definition to come...

11 other providers at this address

Other mental health counselor providers in Matthews

See all in Matthews →

About NPI 1528890704

Brian Distaso, LCMHC's National Provider Identifier is 1528890704, issued on Aug 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Matthews, NC. The record was last updated on Oct 10, 2024.