Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 10013A | NC |
NPI | 1003210717 |
---|---|
Provider Name | Courtney Michelle Caveny |
First Address | Charlotte, NC 28260-0447 |
Second Address | Matthews, NC 28105-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2014 |
Last Update Date | 11/06/2021 |