Individual
BRIAN O LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
542 WILLIAMSON RD STE 4, MOORESVILLE, NC 28117-9138
(704) 467-3389
Mailing address
192 E WARFIELD DR, MOORESVILLE, NC 28115-8055
(704) 467-3389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17355
NC
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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