Individual provider · Type 1 NPI

Peter Gerald McGourty, LPC

Mental Health Counselor · Charlotte, NC

NPI number 1578633343 Active

Practice location

6025 Blakeney Park Dr, Suite 120
Charlotte, NC 28277-5703

Mailing address

153 Athena Pl
Fort Mill, SC 29715-7797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3436 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1578633343

Peter Gerald McGourty, LPC's National Provider Identifier is 1578633343, issued on Nov 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.