Individual provider · Type 1 NPI

Angela Jarvis Micolucci, LCMHCS

Professional Counselor · Mooresville, NC

NPI number 1740434315 Active

Practice location

400 E Statesville Ave Ste 200
Mooresville, NC 28115-2588

Call (704) 360-8486 Map

Fax (704) 230-4674

Mailing address

400 E Statesville Ave
Mooresville, NC 28115-2581

Other practice locations

  • 3593 Denver Dr Unit 1431, Denver, NC 28037-7283 · (704) 953-4890

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7147S (NC)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1740434315

Angela Jarvis Micolucci, LCMHCS's National Provider Identifier is 1740434315, issued on Nov 10, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mooresville, NC. The record was last updated on Jun 26, 2026.