Doctor Name: | DR. CONNIE JANE NUMBERS |
NPI Number: | 1548443286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, PSYD |
License Number: | COO5826 |
Business Practice Address: | 113b Causeway Drive Ocean Isle Beach, NC - 28469 |
Business Phone Number: | 9105750088 |
Business Fax Number: | |
Mailing Address: | 2983 Lake Point Dr Sw, SUPPLY |
State: | NC |
Postal Code: | 284625951 |
Phone Number: | 9105750088 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | COO5826 |
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 |