Timeka A Southerland NCB LPC BE

NPI 1215163167 - Counselor - 101YM0800X

NPI Details
NPI 1215163167
Gender Female
Enumeration Date 06/05/2009
Last Updated 08/31/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
206 FAIR OAKS LN
WINSTON SALEM NC, 27127-3178, US
Phone (336) 745-7179
Fax
Business Location
2048 LAUREN WOODS DR
WINSTON SALEM NC, 27127-8917, US
Phone (336) 745-7179
Fax (336) 224-6393
Toxanomy
Taxonomy Code 101YM0800X
License State North Carolina
License Number NBC LPC BE
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According to our database, Mrs. Timeka A Southerland NCB LPC BE NPI is 1215163167, taxonomy code is 101YM0800X and license number is NBC LPC BE, license state is located at North Carolina. Timeka A Southerland NCB LPC BE physically located at 206 Fair Oaks Ln, Winston Salem NC, 27127-3178. NPI Number Timeka A Southerland NCB LPC BE has the Individual type.

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1215163167 NPI number is provided on an as is basis without warranty of any kind. 1215163167 is maintained by the National Plan & Provider Enumeration System. The contents of Timeka A Southerland NCB LPC BE are for informational purposes only.