Individual
IGNACIO BIDEGAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA NCC
Contact information
Practice address
3403 TIMBER MILL DR, STALLINGS, NC 28104-1156
(404) 667-4236
Mailing address
3403 TIMBER MILL DR, STALLINGS, NC 28104-1156
(404) 667-4236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17794
NC
Other
Enumeration date
12/25/2023
Last updated
02/07/2024
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