Individual
HANNAH GRACE PREVATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED.S, LCMHC, NCC
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Mailing address
836 REGENTS CENTER CIR, LEXINGTON, NC 27295-8618
(910) 467-5369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A14238
NC
101YM0800X
Mental Health Counselor
14238
NC
Other
Enumeration date
08/21/2018
Last updated
03/01/2022
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