Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A14222 | NC |
NPI | 1003399775 |
---|---|
Provider Name | Haley Rognstad |
First Address | Chapel Hill, NC 27516-1165 |
Second Address | Chapel Hill, NC 27516-1165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2018 |
Last Update Date | 10/09/2018 |