Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 104100000X | Social Worker | ||
Y | 106S00000X | Behavior Technician |
NPI | 1306310321 |
---|---|
Provider Name | Ms. Nakima Mechelle Morrison |
First Address | Raleigh, NC 27610-6606 |
Second Address | Raleigh, NC 27610-6606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2019 |
Last Update Date | 12/01/2019 |