Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | MHL-016-034 | NC |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 758 | NC |
N | 101YP2500X | Professional Counselor | 3827 | NC |
NPI | 1003938820 |
---|---|
Provider Name | Kathryn Graves Hunsucker |
First Address | Morehead City, NC 28557-2979 |
Second Address | Morehead City, NC 28557-2979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 28/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6102609 | (05) | NC |
6112363 | (05) | NC |