Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 12806 | NC |
N | 101YP2500X | Professional Counselor | 6401013236 | MI |
N | 101YP2500X | Professional Counselor | LPC007350 | GA |
N | 225C00000X | Rehabilitation Counselor | 00102730 |
NPI | 1174059463 |
---|---|
Provider Name | Dr. Paige Nicole Dunlap |
First Address | Greensboro, NC 27405-9765 |
Second Address | Greensboro, NC 27408-4057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2017 |
Last Update Date | 19/03/2018 |