person
John Brent Idol
Mental Health Counselor in Shelby, North Carolina
NPI 1801563598

John Brent Idol is a Mental Health Counselor based in Shelby, NC and is specialized in Mental Health. John Brent Idol practices in Shelby, NC. The NPI Number for John Brent Idol is 1801563598 and holds a License No. (North Carolina).

The current practice location address for John Brent Idol is 804 N Lafayette St # 2, Shelby, NC and can be reached out via phone at 704-476-4106.

Location: 804 N Lafayette St # 2, Shelby, NC, 28150-3898
person
Provider Profile Details
NPI Number
1801563598
Provider Name
John Brent Idol
Credential
Provider Entity Type
Individual
Gender
Male
Address
804 N Lafayette St # 2, Shelby, NC, 28150-3898
Phone Number
704-476-4106
Fax Number
Provider Enumeration Date
08/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
804 N Lafayette St # 2
City
State
Zip
28150-3898
Phone Number
704-476-4106
Fax Number
person
Provider Business Mailing Address Details
Address
804 N Lafayette St # 2
City
State
Zip
28150-3898
Phone Number
704-476-4106
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A18552 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(North Carolina)
Definition
Definition to come...
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