Individual
MR. JAMES GIAMBUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
436 E LONG AVE, GASTONIA, NC 28054-2516
(704) 853-8227
Mailing address
PO BOX 215, 436 E. LONG AVE, GASTONIA, NC 28053-0215
(704) 853-8227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3761
NCBLPC LICENSE NUMBER
NC
Enumeration date
05/15/2007
Last updated
10/07/2011
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