Doctor Name: | STAR MARIE CHILTON |
NPI Number: | 1669795787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | P005589 |
Business Practice Address: | 1211 N Fayetteville St Asheboro, NC - 272034537 |
Business Phone Number: | 3363281111 |
Business Fax Number: | 3363281112 |
Mailing Address: | 2211 W Meadowview Rd, Suite 10 GREENSBORO |
State: | NC |
Postal Code: | 274073409 |
Phone Number: | 3366178910 |
Fax Number: | 3366178909 |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | P005589 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |