Doctor Name: | DR. THERESA M KASCSAK |
NPI Number: | 1215000195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4523 |
Business Practice Address: | 212 N Marshall St Graham, NC - 272533006 |
Business Phone Number: | 7046500766 |
Business Fax Number: | |
Mailing Address: | 1973 Glenkirk Dr, BURLINGTON |
State: | NC |
Postal Code: | 272159494 |
Phone Number: | 7046500766 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |