Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003123043 |
---|---|
Provider Name | Kelly Lynne Parsons |
First Address | Rockingham, NC 28379 |
Second Address | West End, NC 27376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2010 |
Last Update Date | 13/09/2010 |