Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | NC |
NPI | 1346766219 |
---|---|
Provider Name | Kwari Darshay Hart |
First Address | Kinston, NC 28501-4121 |
Second Address | Kinston, NC 28501-4927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2017 |
Last Update Date | 22/08/2017 |