Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 7373 | NC |
N | 101YS0200X | School Counselor | NC |
NPI | 1124253455 |
---|---|
Provider Name | Ms. Laura Marie Greenhalgh |
First Address | Badin, NC 28009-0081 |
Second Address | Badin, NC 28009-0081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 18/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6104276 | (05) | NC |