person
Mrs. Kathryn Grim Mathis, LCAS,CSI
Addiction (Substance Use Disorder) Counselor in Elizabeth City, North Carolina
NPI 1790826790

Kathryn Grim Mathis is an Addiction (Substance Use Disorder) Counselor based in Elizabeth City, NC and is specialized in Addiction (Substance Use Disorder). Kathryn Grim Mathis practices in Elizabeth City, NC and has the professional credentials of LCAS,CSI. The NPI Number for Kathryn Grim Mathis is 1790826790 and holds a License No. 1124 (North Carolina).

The current practice location address for Kathryn Grim Mathis is 305 E Main St, Elizabeth City, NC and can be reached out via phone at 252-335-9400 and via fax at 252-335-9404.

Location: 305 E Main St, Elizabeth City, NC, 27909-9739
person
Provider Profile Details
NPI Number
1790826790
Provider Name
Kathryn Grim Mathis
Credential
LCAS,CSI
Provider Entity Type
Individual
Gender
Female
Address
305 E Main St, Elizabeth City, NC, 27909-9739
Phone Number
252-335-9400
Fax Number
252-335-9404
Provider Enumeration Date
02/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6111930 05 NC
institution
Provider Business Practice Location Address Details
Address
305 E Main St
City
State
Zip
27909-4425
Phone Number
252-335-9400
Fax Number
252-335-9404
person
Provider Business Mailing Address Details
Address
305 E Main St
City
State
Zip
27909-4425
Phone Number
252-335-9400
Fax Number
252-335-9404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1124 (North Carolina)
Definition
Definition to come...
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