Doctor Name: | MS. CARRIE ANN CACCHIONE |
NPI Number: | 1083898977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC/ NCC |
License Number: | 6792 |
Business Practice Address: | 3332-a Bridges St. Morehead City, NC - 28557 |
Business Phone Number: | 2526488602 |
Business Fax Number: | 2526480000 |
Mailing Address: | 8 Portwest Townhouses, Apt A SWANSBORO |
State: | NC |
Postal Code: | 285848234 |
Phone Number: | 8144900694 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |