Doctor Name: | KARA SPAIN |
NPI Number: | 1063644516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7882 |
Business Practice Address: | 2400 Golden Horseshoe Cir Apt. H Morrisville, NC - 275607649 |
Business Phone Number: | 9199490983 |
Business Fax Number: | |
Mailing Address: | 2400 Golden Horseshoe Cir, Apt. H MORRISVILLE |
State: | NC |
Postal Code: | 275607649 |
Phone Number: | 9199490983 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |