Individual
MRS. ANGELA JARVIS MICOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115-2588
(704) 360-8486
(704) 230-4674
Mailing address
2498 SMITH HARBOUR DR, DENVER, NC 28037-8088
(704) 953-4890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7147S
NC
Other
Enumeration date
11/10/2008
Last updated
10/27/2025
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