Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0604 | NC |
N | 101YS0200X | School Counselor | NC |
NPI | 1043471196 |
---|---|
Provider Name | Mrs. Carol D. Williamson |
First Address | Raleigh, NC 27609-4713 |
Second Address | Raleigh, NC 27609-4713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 20/06/2008 |