Doctor Name: | MS. JEANINE L HINES |
NPI Number: | 1063644045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLCSW, QP |
License Number: | P005149 |
Business Practice Address: | 2901 N Herritage St Kinston, NC - 285011581 |
Business Phone Number: | 2522080061 |
Business Fax Number: | 2522080149 |
Mailing Address: | 2901 N Herritage St, KINSTON |
State: | NC |
Postal Code: | 285011581 |
Phone Number: | 2522080061 |
Fax Number: | 2522080149 |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 08/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P005149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |