TIM VANDERGAST, MA, NCC

Counselor

Active Individual
NPI: 1700087756

Practice Address

952 COPPERFIELD BLVD NE
Concord, NC 28025

Phone: (704) 786-7709

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 45941 (NC)

Frequently Asked Questions

NPI 1700087756 is the National Provider Identifier for TIM VANDERGAST, MA, NCC, a Counselor provider located in Concord, NC. This NPI was enumerated on May 29, 2007.
TIM VANDERGAST, MA, NCC practices at 952 COPPERFIELD BLVD NE, Concord, NC 28025.

Quick Facts

NPI
1700087756
Type
Individual
Enumerated
May 29, 2007
Last Updated
Jul 8, 2007

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