Individual
HENRY CHASE V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
9541 JULIAN CLARK AVE STE 110, HUNTERSVILLE, NC 28078-3485
(704) 659-3817
(704) 288-1556
Mailing address
171 SPRING ST NW, CONCORD, NC 28025-4711
(207) 270-1388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21763
NC
Other
Enumeration date
08/21/2025
Last updated
08/26/2025
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