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BRIAN DISTASO, LCMHC
LCMHC
Mental Health Counselor
NPI: 1528890704IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
17591(NC)
Professional Counselor
Counselor — Professional
Code: 101YP2500X
17591(NC)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2021
Contact & Hours
Via practice · 2 locations total
- Address
- 855 SAM NEWELL RD STE 100
MATTHEWS, NC 28105 - Phone
- (704) 360-3637
Quick Facts
- NPI
- 1528890704
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 5
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