person
Patrick Sal Ide, MA,LPCA
Mental Health Counselor in Winston Salem, North Carolina
NPI 1174022966

Patrick Sal Ide is a Mental Health Counselor based in Draper, NC and is specialized in Mental Health. Patrick Sal Ide practices in Winston Salem, NC and has the professional credentials of MA,LPCA. The NPI Number for Patrick Sal Ide is 1174022966 and holds a License No. (North Carolina).

The current practice location address for Patrick Sal Ide is 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC and can be reached out via phone at 336-464-3136.

Location: 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC, 84020-5488
person
Provider Profile Details
NPI Number
1174022966
Provider Name
Patrick Sal Ide
Credential
MA,LPCA
Provider Entity Type
Individual
Gender
Male
Address
1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC, 84020-5488
Phone Number
336-464-3136
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912446253 05 NC
institution
Provider Business Practice Location Address Details
Address
1922 S Martin Luther King Jr Dr Ste 255
City
State
Zip
27107-1361
Phone Number
336-464-3136
Fax Number
person
Provider Business Mailing Address Details
Address
1922 S Martin Luther King Jr Dr Ste 255
City
State
Zip
27107-1361
Phone Number
336-464-3136
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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