Individual
TASHA L KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4909 WATERS EDGE DR, SUITE 104, RALEIGH, NC 27606-2462
(919) 601-1313
Mailing address
1702 SHERIFF WATSON RD, SANFORD, NC 27332-6720
(919) 601-1313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S7134
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
7134
NC
Other
Enumeration date
10/06/2008
Last updated
08/05/2022
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