Individual
MS. KATHLEEN HINES SEACREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
136 GEISKY CREEK RD, HAYESVILLE, NC 28904-5617
(828) 835-0772
Mailing address
136 GEISKY CREEK RD, HAYESVILLE, NC 28904-5617
(828) 835-0772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NCLPA2566
NC
174400000X
Specialist
2566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107367
—
NC
Enumeration date
11/10/2006
Last updated
02/06/2019
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