Doctor Name: | MR. HAROLD KEITH CANTRELL |
NPI Number: | 1992905244 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 4487 |
Business Practice Address: | 320 East Hwy 70 Valdese, NC - 286909500 |
Business Phone Number: | 8284431225 |
Business Fax Number: | 8283680208 |
Mailing Address: | Po Box 500, RUTHERFORD COLLEGE |
State: | NC |
Postal Code: | 286710500 |
Phone Number: | 8284431225 |
Fax Number: | 8283680208 |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 05/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |