Doctor Name: | MELISSA MAGEE-KAKOURAS |
NPI Number: | 1316177629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C006451 |
Business Practice Address: | 216a W. North Main Street Waxhaw, NC - 281736012 |
Business Phone Number: | 7045604918 |
Business Fax Number: | 7042431799 |
Mailing Address: | 2314 Carson Dr, WAXHAW |
State: | NC |
Postal Code: | 281739325 |
Phone Number: | 7045604918 |
Fax Number: | 7042431799 |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006451 |
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 |