Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1123 | NC |
Y | 101YP2500X | Professional Counselor | 4326 | NC |
N | 101YS0200X | School Counselor | XXXXXXX38 | NC |
NPI | 1124212121 |
---|---|
Provider Name | Prof. Karin Mcpeak Dumont |
First Address | Fayetteville, NC 28311-2945 |
Second Address | Fayetteville, NC 28311-2945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2007 |
Last Update Date | 01/09/2007 |