Individual provider · Type 1 NPI

Tim S. Vandergast, MA, NCC

Counselor · Concord, NC

NPI number 1700087756 Active

Practice location

952 Copperfield Blvd NE
Concord, NC 28025-2433

Call (704) 786-7709 Map

Mailing address

3967 Tenneyson Ct
Concord, NC 28027-8119

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X45941 (NC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1700087756

Tim S. Vandergast, MA, NCC's National Provider Identifier is 1700087756, issued on May 29, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Concord, NC. The record was last updated on Jul 8, 2007.