Doctor Name: | CHRISTA FUTRELL |
NPI Number: | 1285005579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P008850 |
Business Practice Address: | 1800 Rc Watson Rd Wendell, NC - 275917824 |
Business Phone Number: | 9194809958 |
Business Fax Number: | |
Mailing Address: | 1800 Rc Watson Rd, WENDELL |
State: | NC |
Postal Code: | 275917824 |
Phone Number: | 9194809958 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2015 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P008850 |
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 |