Organization · Type 2 NPI

Beatties Ford Road Vocational Trade Center

Addiction (Substance Use Disorder) Counselor · Mooresville, NC

NPI number 1558984476 Active

Practice location

237 Dry Dock Loop
Mooresville, NC 28117-8054

Fax (980) 209-9717

Mailing address

1406 Beatties Ford Rd
Charlotte, NC 28216-4550

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Intellectual & Developmental Disabilities Psychologist 103TM1800XNone listed

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About NPI 1558984476

Beatties Ford Road Vocational Trade Center's National Provider Identifier is 1558984476, issued on May 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mooresville, NC. The record was last updated on May 27, 2020.