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Mr. John A. Basilice, LCMHC
Mental Health Counselor in Concord, North Carolina
NPI 1265690036

John A. Basilice is a Mental Health Counselor based in Harrisburg, NC and is specialized in Mental Health. John A. Basilice practices in Concord, NC and has the professional credentials of LCMHC. The NPI Number for John A. Basilice is 1265690036 and holds a License No. 2465 (North Carolina).

The current practice location address for John A. Basilice is 363 Church St N Ste 260, Concord, NC and can be reached out via phone at 980-263-9065.

Location: 363 Church St N Ste 260, Concord, NC, 28075-6713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265690036
Provider Name
John A. Basilice
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
363 Church St N Ste 260, Concord, NC, 28075-6713
Phone Number
980-263-9065
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
363 Church St N Ste 260
City
Concord
State
North Carolina
Zip
28025-4525
Phone Number
980-263-9065
Fax Number
person
Provider Business Mailing Address Details
Address
363 Church St N Ste 260
City
Concord
State
North Carolina
Zip
28025-4525
Phone Number
980-263-9065
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2465 (North Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2465 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2465 (North Carolina)
Definition
Definition to come...
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