SearchNorth Carolina101YM0800X

Brian Distaso, LCMHC

NPI 1528890704 · on the registry since 2024

Practice

Address
855 Sam Newell Rd Ste 100
Matthews, NC 28105
Phone
(704) 360-3637
Organisation at this address
Novant Health Medical Group, Llc
Crownpoint Chiropractic Center,Pc
Dr. Nicholas Graham And Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Additional practice sites

  • 4732 Lebanon Rd Ste C, Mint Hill, NC

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina