Provider Demographics
NPI:1548461437
Name:PIERCE, JOHN D (NCLCMHCS, NCC, CSAT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:D
Last Name:PIERCE
Suffix:
Gender:M
Credentials:NCLCMHCS, NCC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 BRIGHTMOOR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2433
Mailing Address - Country:US
Mailing Address - Phone:704-841-9072
Mailing Address - Fax:
Practice Address - Street 1:7615 COLONY RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-0007
Practice Address - Country:US
Practice Address - Phone:704-365-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional