MEDICARE: MR. JOSEPH ANTHONY SAGLIMBENI II LCMHC-A, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	A17173	NC

General Provider Information

NPI Number	:	1619637600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH ANTHONY SAGLIMBENI II LCMHC-A, NCC

Provider Business Mailing Address
First Line	:	20468 CHARTWELL CENTER DR STE N
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9642
Country	:	US
Telephone Number	:	704-775-9211
Fax Number	:

Provider Business Practice Location Address
First Line	:	20468 CHARTWELL CENTER DR STE N
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9642
Country	:	US
Telephone Number	:	704-775-9211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2021
Last Update Date	:	07/21/2022

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