Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 13410 | NC |
Y | 101YS0200X | School Counselor | 1211702 | NC |
NPI | 1124619051 |
---|---|
Provider Name | Anna Whalen |
First Address | Sanford, NC 27330-9272 |
Second Address | Sanford, NC 27330-9272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |