Individual provider · Type 1 NPI
Randi Konikoff, PH.D. LCMHCS, LCAS
Mental Health Counselor · Huntersville, NC
NPI number
1972832269
Active
Practice location
16507A Northcross Dr Ste 105
Huntersville, NC 28078-5081
Fax (980) 276-3005
Mailing address
8215 Bridgegate Dr
Huntersville, NC 28078-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1603 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 7657 (NC) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1972832269
Randi Konikoff, PH.D. LCMHCS, LCAS's National Provider Identifier is 1972832269, issued on Dec 15, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Huntersville, NC. The record was last updated on Jul 23, 2020.