Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 049 | NC |
NPI | 1033624200 |
---|---|
Provider Name | Chris Frank East |
First Address | Summerfield, NC 27358-9314 |
Second Address | Summerfield, NC 27358-9314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2017 |
Last Update Date | 09/12/2017 |