Doctor Name: | KRISTINA MILLS-GREGORY |
NPI Number: | 1003239575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | A8465 |
Business Practice Address: | 1420a S Pollock St Selma, NC - 275763404 |
Business Phone Number: | 9193510428 |
Business Fax Number: | |
Mailing Address: | 220 Angie Dr, GOLDSBORO |
State: | NC |
Postal Code: | 275308936 |
Phone Number: | 9196893346 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2014 |
NPI Last Update Date: | 02/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A8465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |