Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | ||
Y | 101YS0200X | School Counselor |
NPI | 1235890146 |
---|---|
Provider Name | Mrs. Callie Durham |
First Address | Hillsborough, NC 27278-6604 |
Second Address | Hillsborough, NC 27278-6604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2022 |
Last Update Date | 03/01/2022 |