Individual
JOHN BRENT IDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 CHESTNUT DR, HIGH POINT, NC 27262-6804
(336) 886-5594
Mailing address
804 N LAFAYETTE ST # 2, SHELBY, NC 28150-3898
(704) 476-4106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
Primary
A18552
NC
Other
Enumeration date
08/30/2021
Last updated
04/17/2025
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