person
Mrs. Katherine D Wyatt, LCMHC
Mental Health Counselor in Kernersville, North Carolina
NPI 1467413393

Katherine D Wyatt is a Mental Health Counselor based in Kernersville, NC and is specialized in Mental Health. Katherine D Wyatt practices in Kernersville, NC and has the professional credentials of LCMHC. The NPI Number for Katherine D Wyatt is 1467413393 and holds a License No. 4900 (North Carolina).

The current practice location address for Katherine D Wyatt is 110 Kelvdon Dr, Kernersville, NC and can be reached out via phone at 252-474-4645.

Location: 110 Kelvdon Dr, Kernersville, NC, 27284-8387
person
Provider Profile Details
NPI Number
1467413393
Provider Name
Katherine D Wyatt
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
110 Kelvdon Dr, Kernersville, NC, 27284-8387
Phone Number
252-474-4645
Fax Number
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
194339 01 NC MEDCOST
831160000 01 NC MAGELLAN
204836896 01 NC TRICARE
2268491 01 NC CIGNA
1400F 01 NC BC
6102822 05 NC
institution
Provider Business Practice Location Address Details
Address
110 Kelvdon Dr
City
State
Zip
27284-8387
Phone Number
252-474-4645
Fax Number
person
Provider Business Mailing Address Details
Address
110 Kelvdon Dr
City
State
Zip
27284-8387
Phone Number
252-474-4645
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4900 (North Carolina)
Definition
Definition to come...
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