Individual
DR. JOHN K TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
101 CLOISTER CT, SUITE F, CHAPEL HILL, NC 27514-2207
(919) 408-3212
(919) 408-3306
Mailing address
101 CLOISTER CT, SUITE F, CHAPEL HILL, NC 27514-2207
(919) 408-3212
(919) 408-3306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2496
NC
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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