Individual
BRENDAN BELLAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 STONEDOWN LN, MATTHEWS, NC 28104-8034
(704) 953-9127
Mailing address
1416 STONEDOWN LN, MATTHEWS, NC 28104-8034
(704) 953-9127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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