Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2977 | NC |
N | 101YP2500X | Professional Counselor | 9362 | NC |
NPI | 1003189101 |
---|---|
Provider Name | Emily J Capps |
First Address | Concord, NC 28025-1831 |
Second Address | Newland, NC 28657-9670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2012 |
Last Update Date | 09/05/2017 |