Doctor Name: | MS. KAREN ANN JUNTILLA |
NPI Number: | 1043324155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 3777 |
Business Practice Address: | 1091 Pemberton Hill Rd Ste 102 Apex, NC - 275024269 |
Business Phone Number: | 9193030273 |
Business Fax Number: | 9193035986 |
Mailing Address: | 1091 Pemberton Hill Rd Ste 102, APEX |
State: | NC |
Postal Code: | 275024269 |
Phone Number: | 9193030273 |
Fax Number: | 9193035986 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |