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Tim S. Vandergast, MA,NCC
Counselor in Concord, North Carolina
NPI 1700087756

Tim S. Vandergast is a Counselor based in Concord, NC. Tim S. Vandergast practices in Concord, NC and has the professional credentials of MA,NCC. The NPI Number for Tim S. Vandergast is 1700087756 and holds a License No. 45941 (North Carolina).

The current practice location address for Tim S. Vandergast is 952 Copperfield Blvd Ne, Concord, NC and can be reached out via phone at 704-786-7709. You can also correspond with Tim S. Vandergast through the mailing address at 3967 TENNEYSON CT, CONCORD, NC - 28027-8119 (mailing address contact number: 704-210-8450).

Location: 952 Copperfield Blvd Ne, Concord, NC, 28027-8119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700087756
Provider Name
Tim S. Vandergast
Credential
MA,NCC
Provider Entity Type
Individual
Gender
Male
Address
952 Copperfield Blvd Ne, Concord, NC, 28027-8119
Phone Number
704-786-7709
Fax Number
Provider Enumeration Date
05/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
952 Copperfield Blvd Ne
City
Concord
State
North Carolina
Zip
28025-2433
Phone Number
704-786-7709
Fax Number
person
Provider Business Mailing Address Details
Address
952 Copperfield Blvd Ne
City
Concord
State
North Carolina
Zip
28025-2433
Phone Number
704-786-7709
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
45941 (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.
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