Provider Demographics
NPI:1235322256
Name:IOSSI, PATSY TUCKER (LCMHC, PA)
Entity Type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:TUCKER
Last Name:IOSSI
Suffix:
Gender:F
Credentials:LCMHC, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 STATESVILLE BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2283
Mailing Address - Country:US
Mailing Address - Phone:704-754-7370
Mailing Address - Fax:
Practice Address - Street 1:650 STATESVILLE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2283
Practice Address - Country:US
Practice Address - Phone:704-754-7370
Practice Address - Fax:704-639-0794
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional